Individual
ADAM BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-3849
Mailing address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-3849
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A184791
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
A184791
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2020
Last updated
06/22/2024
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