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BEAVER MEDICAL GROUP LP NPI 1831133768


NPI Information

NPI: 1831133768
Provider Name: BEAVER MEDICAL GROUP, LP
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
2 W FERN AVE
REDLANDS, CA
ZIP 92373
Phone: (909) 793-3311
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BEAVER MEDICAL GROUP, LP is an allergy immunology in Redlands, CA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. BEAVER MEDICAL GROUP, LP NPI is 1831133768. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2 W FERN AVE
REDLANDS, CA
ZIP 92373-916
Phone: (909) 793-3311
Fax: (909) 796-4158

The provider's authorized official is Dennis P Flynn .
The authorized official title is Vice President Of Medical Affairs and has the following contact phone number (909) 799-1818.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyYes
2207RC0000XInternal MedicineCardiovascular DiseaseX
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismX
4207Q00000XFamily MedicineX
5208600000XSurgeryX
6207R00000XInternal MedicineX
7207V00000XObstetrics & GynecologyX
8152W00000XOptometristX
9207W00000XOphthalmologyX
10207X00000XOrthopaedic SurgeryX
11208000000XPediatricsX
12207RP1001XInternal MedicinePulmonary DiseaseX
132085R0202XRadiologyDiagnostic RadiologyX
14207RR0500XInternal MedicineRheumatologyX
15208800000XUrologyX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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