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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

NPI # 1831133768
LBN Legal business name BEAVER MEDICAL GROUP, LP
Authorized official DENNIS FLYNN - (VICE PRESIDENT OF MEDICAL AFFAIRS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2006
Last updated 09/11/2025 - About 9 months 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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