Beaver Medical Group PC

NPI #1205013323 in Yucaipa, California

Provider Information

NPI Number: 1205013323
Entity Type: Organization
Organization Name: Beaver Medical Group PC
Primary Specialty: Family Medicine
Enumeration Date: Jan 31, 2008
Last Updated: Sep 30, 2022

Practice Location

Address: 33758 YUCAIPA BLVD
City: Yucaipa
State: California
ZIP Code: 92399-2243
Phone: (909) 795-9747

Authorized Official

Name: CHARLES CHEN, M.D.
Title: CHIEF MEDICAL OFFICER
Phone: (909) 793-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Dermatology	207N00000X
Internal Medicine	207R00000X
Ophthalmology	207W00000X
Orthopaedic Surgery	207X00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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