Provider Demographics
NPI:1932516747
Name:BEYDA, NANCY (LM/CPM)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:BEYDA
Suffix:
Gender:F
Credentials:LM/CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1949 N WILTON PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-3626
Mailing Address - Country:US
Mailing Address - Phone:323-646-4362
Mailing Address - Fax:323-467-6636
Practice Address - Street 1:1949 N WILTON PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-3626
Practice Address - Country:US
Practice Address - Phone:323-646-4362
Practice Address - Fax:323-467-6636
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA404176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife