National Provider Identifier Database

BEVERLY R HENDRICKSON, MD – NPI #1306910906
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

BEVERLY R HENDRICKSON, MD
30230 RANCHO VIEJO RD
SUITE A
SAN JUAN CAPISTRANO, CA92675
Phone: 949-493-7337
Fax: 949-373-1300
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for BEVERLY R HENDRICKSON

NPI Number 1306910906
Credentials MD
Entity Individual
Enumeration date 11/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • CA License #: G40908
  • CA Medicaid: GR0081160
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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