NPI 1104984137

Beth Medical Clinic

Organisation Legal Medicine Los Angeles, CA

Practice location

Address: 11126 S Main St, Los Angeles, CA 90061-1926
Phone: (323) 779-8398
Fax: (323) 779-8493

Authorised official

Name: Emmanuel a Ayodele
Title: Medical Doctor
Phone: (323) 779-8398

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence A46478 (CA)

Other Legal Medicine providers in California →

Registry record

NPI: 1104984137
Entity type: Organization
NPI issued: 4 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.