Provider Demographics
NPI:1437146313
Name:TSEYTLIN, BEATRISA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BEATRISA
Middle Name:
Last Name:TSEYTLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14506 BENEFIT ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3732
Mailing Address - Country:US
Mailing Address - Phone:818-789-6836
Mailing Address - Fax:818-340-5075
Practice Address - Street 1:23107 SHERMAN PL
Practice Address - Street 2:#101
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2006
Practice Address - Country:US
Practice Address - Phone:818-340-0212
Practice Address - Fax:818-340-5075
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH53687183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist