Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ellis Norman Beesley Jr., MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1063470219

Dr. Ellis Norman Beesley Jr., MD is a Pediatric Adolescent Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1127 Wilshire Blvd Ste 707
Los Angeles, CA 90017-3901
Phone: (213) 482-4830
Fax: (213) 482-0275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence A41548 (CA)

Record details

NPI number1063470219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021

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