SearchCalifornia103TC0700X

Beverly Ibeh

NPI 1700334158 · on the registry since 2016

Practice

Address
2417 Michigan Ave
Santa Monica, CA 90404
Phone
(855) 446-4374
Organisation at this address
Headspace Medical Group (Ks) Llc
Headspace Medical Group (Nj) Llc
Headspace Medical Group (Ca), P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103T00000X
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California