Provider Demographics
NPI:1821176769
Name:BEEVE, SCOTT WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:WILLIAM
Last Name:BEEVE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1809 VERDUGO BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1416
Mailing Address - Country:US
Mailing Address - Phone:818-790-8001
Mailing Address - Fax:818-790-7757
Practice Address - Street 1:1809 VERDUGO BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1416
Practice Address - Country:US
Practice Address - Phone:818-790-8001
Practice Address - Fax:818-790-7757
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2017-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA71788207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
180040302Medicare PIN
H22749Medicare UPIN
CA1282740001Medicare NSC
CAW14592Medicare PIN