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Contact Information

BEAVER MEDICAL GROUP, LP
2 W FERN AVE
REDLANDS, CA92373-5916
 Phone: 909-793-3311
 Fax: 909-796-4158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BEAVER MEDICAL GROUP LP · (Female)

NPI Number 1831133768
Status Active
Credentials
Entity Individual
Enumeration date 06/14/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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