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Contact Information

KYSHA BEACH
PO BOX 5080
SAN RAMON, CA94583-0980
 Phone: 916-286-7080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Case Management

163WC0400X
Indicates primary specialty

NPI Profile & details for KYSHA BEACH · (Female)

NPI # 1891529103
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2024
Last updated 08/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 95351053
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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