Provider Demographics
NPI:1346330172
Name:HAIEM, BEATRICE (MD)
Entity Type:Individual
Prefix:DR
First Name:BEATRICE
Middle Name:
Last Name:HAIEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BEATRICE
Other - Middle Name:
Other - Last Name:NADJAT-HAIEM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1762 WESTWOOD BLVD
Mailing Address - Street 2:300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-5632
Mailing Address - Country:US
Mailing Address - Phone:310-441-2000
Mailing Address - Fax:310-441-2020
Practice Address - Street 1:1762 WESTWOOD BLVD
Practice Address - Street 2:300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:310-441-2000
Practice Address - Fax:310-441-2020
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG77472208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics