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Individual

DR. SCOTT A BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 881-0800
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
G37825
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G378250
CA
Enumeration date
12/01/2006
Last updated
06/30/2020
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