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NPI 1598706293 · live from the CMS NPI Registry

Beaver Medical Group P C

Internal Medicine in Highland, CA. National Provider Identifier 1598706293, active.

NPI record

NPI1598706293 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location7000 Boulder Ave, Highland, CA 92346
Practice phone909-862-1191
Mailing addressPo Box 35380, Las Vegas, NV 89133
EnumeratedJune 10, 2006
Last updatedAugust 20, 2024
Authorized officialEmily Castillo, Associate Director

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology207N00000X—
Emergency Medicine207P00000X—
Family Medicine207Q00000X—
Internal Medicine primary207R00000X—
Internal Medicine, Cardiovascular Disease207RC0000X—
Internal Medicine, Gastroenterology207RG0100X—
Internal Medicine, Hematology & Oncology207RH0003X—
Obstetrics & Gynecology207V00000X—
Orthopaedic Surgery207X00000X—
Otolaryngology207Y00000X—
Pediatrics208000000X—
Psychiatry & Neurology, Neurology2084N0400X—
Radiology, Diagnostic Radiology2085R0202X—
Audiologist231H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.