Beaver Medical Group P C

LBN: Beaver Medical Group P C
Beaver Medical Group P C is an health care organization with primary practice located at 245 Terracina Blvd Suite # 105, Redlands CA 92373-4852. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Beaver Medical Group P C can be contacted via phone (909) 792-9737, or through Castillo, Emily via phone (702) 480-2550.

Contact Information

Primary practice address
245 Terracina Blvd Suite # 105 Redlands CA 92373-4852
Phone: (909) 792-9737
Fax: (909) 796-4158
Website:
Map and Directions
Authorized official contact:
Name: Castillo, Emily
Phone: (702) 480-2550

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1427090281
LBN Legal business name Beaver Medical Group P C
DBA Doing business as
Authorized official Castillo, Emily
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 3rd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427090281 NPPES
Other ZZZ42611Z MEDICARE PTAN

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