Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

West Beverly Medical Corporation

Organization General Practice Physician · NPI 1982875860

West Beverly Medical Corporation provides General Practice Physician services in Los Angeles, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

4643 Beverly Blvd #103
Los Angeles, CA 90004-3101 Not confirmed with CMS for 18 years — call before visiting
Phone: (323) 461-4183
Fax: (323) 461-0864
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1982875860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Antonio — Manager · (323) 461-4183
NPI enumeratedMarch 18, 2008
Last updated in NPPESMarch 18, 2008
Mailing address4643 Beverly Blvd, 103, Los Angeles, CA 90004-3101

Other providers in Los Angeles