Beaver Medical Group LP
NPI #1629482641 in Beaumont, California
Provider Information
- NPI Number
- 1629482641
- Entity Type
- Organization
- Organization Name
- Beaver Medical Group LP
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jun 18, 2014
- Last Updated
- Jan 8, 2016
Practice Location
- Address
- 81 HIGHLAND SPRINGS AVE
- Address 2
- SUITE 200
- City
- Beaumont
- State
- California
- ZIP Code
- 92223-3170
- Phone
- (951) 845-0313
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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