BEAVER MEDICAL GROUP LP NPI 1831377662

NPI Information

BEAVER MEDICAL GROUP LP is a non pharmacy dispensing site in Colton, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) BEAVER MEDICAL GROUP LP NPI is 1831377662. The provider is registered as an organization entity type.
The provider Is Doing Business As Beaver Medical Group - Cooley Ranch.

The provider's business location address is:

1300 E COOLEY DR
COLTON, CA
ZIP 92324-905
Phone: (909) 270-4179

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 4/25/2013.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.