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Contact Information

BEAVER MEDICAL GROUP P C
7000 BOULDER AVE
HIGHLAND, CA92346-3348
 Phone: 909-862-1191
 Fax: 909-796-4158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Audiologist

231H00000X 64 Audiologist
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BEAVER MEDICAL GROUP P C

NPI Number 1598706293
LBN Legal business name BEAVER MEDICAL GROUP P C
Authorized official EMILY CASTILLO - (ASSOCIATE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2006
Last updated 08/20/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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