| Elizabeth C. Beal, D.o., A Professional Medical Corporation | |
|
200 S Main St Ste D Templeton CA 93465-9366 | |
| (805) 670-2180 | |
| (805) 273-0298 |
| Full Name | Elizabeth C. Beal, D.o., A Professional Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 S Main St Ste D, Templeton, California |
| Authorized Official Name and Position | Elizabeth Claudia Hopkirk Beal (PRESIDENT, MEDICAL DIRECTOR) |
| Authorized Official Contact | 5105295825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth C. Beal, D.o., A Professional Medical Corporation 200 S Main St Ste D Templeton CA 93465-9366 Ph: (805) 670-2180 | Elizabeth C. Beal, D.o., A Professional Medical Corporation 200 S Main St Ste D Templeton CA 93465-9366 Ph: (805) 670-2180 |
| NPI Number | 1780232850 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 07/20/2021 |
| Medicare PECOS PAC ID | 9032530662 |
|---|---|
| Medicare Enrollment ID | O20200605001523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780232850 | NPI | - | NPPES |
| 77631 | Other | CA | KAREO EHR |
| 748145 | Other | CA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Elizabeth C Beal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548540933 PECOS PAC ID: 1850604067 Enrollment ID: I20150716002975 |
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