Provider Demographics
NPI:1952499295
Name:BEEBEE, ALEXANDER MACWHORTER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MACWHORTER
Last Name:BEEBEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 W BELLEVUE DR STE B
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2501
Mailing Address - Country:US
Mailing Address - Phone:626-577-1305
Mailing Address - Fax:626-795-3527
Practice Address - Street 1:97 W BELLEVUE DR STE B
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2501
Practice Address - Country:US
Practice Address - Phone:626-577-1305
Practice Address - Fax:626-795-3527
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG524602084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G524600Medicaid
CA00G524600Medicaid
E23402Medicare ID - Type Unspecified