| Roberto A. Beaton, M.d., Inc. | |
|
4314 W Victory Blvd Burbank CA 91505-1334 | |
| (818) 843-6611 | |
| (818) 843-6656 |
| Full Name | Roberto A. Beaton, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4314 W Victory Blvd, Burbank, California |
| Authorized Official Name and Position | Roberto Angel Beaton (PRESIDENT) |
| Authorized Official Contact | 8188436611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto A. Beaton, M.d., Inc. 4314 W Victory Blvd Burbank CA 91505-1334 Ph: (818) 843-6611 | Roberto A. Beaton, M.d., Inc. 4314 W Victory Blvd Burbank CA 91505-1334 Ph: (818) 843-6611 |
| NPI Number | 1316025513 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1052342656 |
|---|---|
| Medicare Enrollment ID | O20050823001103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316025513 | NPI | - | NPPES |
| GR0090140 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alina C Beaton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598953291 PECOS PAC ID: 0042350670 Enrollment ID: I20091212000032 |
| Provider Name | Roberto A Beaton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669550885 PECOS PAC ID: 2668521394 Enrollment ID: I20100330000308 |
| Provider Name | Tu H Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336228584 PECOS PAC ID: 3678609617 Enrollment ID: I20100330000454 |
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