| Beaver Medical Group, Lp | |
|
7223 Church St Ste C Highland CA 92346-5869 | |
| (909) 862-1191 | |
| (909) 796-4158 |
| Full Name | Beaver Medical Group, Lp |
|---|---|
| Speciality | Family Medicine |
| Location | 7223 Church St, Highland, California |
| Authorized Official Name and Position | Charles Chen (SENIOR MEDICAL DIRECTOR) |
| Authorized Official Contact | 9097933311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaver Medical Group, Lp Po Box 10069 San Bernardino CA 92423-0069 Ph: (909) 335-4188 | Beaver Medical Group, Lp 7223 Church St Ste C Highland CA 92346-5869 Ph: (909) 862-1191 |
| NPI Number | 1346278363 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 09/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346278363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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