Provider Demographics
NPI:1245475045
Name:AUGUST, BETH LAUREN (DC)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:LAUREN
Last Name:AUGUST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5033 BILOXI AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4141
Mailing Address - Country:US
Mailing Address - Phone:818-763-7206
Mailing Address - Fax:
Practice Address - Street 1:5033 BILOXI AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4141
Practice Address - Country:US
Practice Address - Phone:818-763-7206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor