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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEAVER MEDICAL GROUP P C

Deactivated Organization

BEAVER MEDICAL GROUP P C is a Family Medicine organization located in REDLANDS, California. NPI 1275570830 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · REDLANDS, CA

This NPI has been deactivated. The record was deactivated on September 10, 2009. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1275570830
Provider Type
Organization
NPI Issued
Jun 1, 2006 (3.2767123287671 yrs)
Last Updated
Aug 20, 2024
Deactivated
Sep 10, 2009

Practice Information

Address
1600 E CITRUS AVE
SUITE # A
REDLANDS, CA, 923744270
Browse CA providers · Browse ZIP 92374
Phone
9097943682
Fax
9097964158
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Pediatrics
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.