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Tyra L Beavers
Chiropractor in Beverly Hills, California
NPI 1336106889

Tyra L Beavers is a Chiropractor based in Beverly Hills, CA. Tyra L Beavers practices in Beverly Hills, CA. The NPI Number for Tyra L Beavers is 1336106889 and holds a License No. 23792 (California).

The current practice location address for Tyra L Beavers is 250 N Robertson Blvd, Beverly Hills, CA and can be reached out via phone at 310-859-7696 and via fax at 310-859-7699.

Location: 250 N Robertson Blvd, Beverly Hills, CA, 90211-1793
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336106889
Provider Name
Tyra L Beavers
Credential
Provider Entity Type
Individual
Gender
Female
Address
250 N Robertson Blvd, Beverly Hills, CA, 90211-1793
Phone Number
310-859-7696
Fax Number
310-859-7699
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC23792 01 CA PRIVATE INSURANCE
200355585 01 CA PRIVATE INS TAX ID
institution
Provider Business Practice Location Address Details
Address
250 N Robertson Blvd
City
Beverly Hills
State
California
Zip
90211-1788
Phone Number
310-859-7696
Fax Number
310-859-7699
person
Provider Business Mailing Address Details
Address
250 N Robertson Blvd
City
Beverly Hills
State
California
Zip
90211-1788
Phone Number
310-859-7696
Fax Number
310-859-7699
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
23792 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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