IndividualActive
Ellis Beesley, M.D.
NPI 1063470219 · Pediatric Adolescent Medicine Physician · Los Angeles, CA
Provider details
- NPI number
- 1063470219
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A41548 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1127 Wilshire Blvd
Suite 707
Los Angeles, CA 90017-3901
Phone: (213) 482-4830
Fax: (213) 482-0275
Approximate (ZIP-level) locationGet directions
Mailing address
1127 Wilshire Blvd
Los Angeles, CA 90017-3901
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2021-07-21
- Certified
- 2021-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.