BEACON MEDICAL MANAGEMENT LLC NPI 1902166085

NPI Information

BEACON MEDICAL MANAGEMENT LLC is a general practice in Tustin, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BEACON MEDICAL MANAGEMENT LLC NPI is 1902166085. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13372 NEWPORT AVE STE I
TUSTIN, CA
ZIP 92780-426
Phone: (714) 731-9355
Fax: (714) 731-9350

The provider's authorized official is Jennifer Jeanne Milam .
The authorized official title is Owner and has the following contact phone number (714) 731-9355.

The enumeration date for this NPI number is 5/22/2012 and was last updated on 5/22/2012.

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:

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