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Organization
SCOTT A. BEASLEY, M.D., INC.
Active
Organization
SCOTT A. BEASLEY, M.D., INC.
Active
Other names
California Neonatology Services Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARA NORDBERG (ACCOUNTS ADMINISTRATOR)
(949) 492-3514
Entity
Organization
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 742-5716
(949) 366-2390
Mailing address
PO BOX 1359, SAN CLEMENTE, CA 92674-1359
(949) 492-3514
(949) 366-2390
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
06/11/2008
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