Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. COREY MARC BEAUSOLEIL, P.A.
ActiveMR. COREY MARC BEAUSOLEIL, P.A. is a Physician Assistant healthcare provider located in STANFORD, California. NPI 1467846147 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · STANFORD, CA
Registration Details
- NPI Number
- 1467846147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2015 (11.393449491497 yrs)
- Last Updated
- Dec 4, 2020
- Licenses
-
0010-05629 (NC)PA53605 (CA)
Practice Information
- Address
-
300 PASTEUR DRSTANFORD, CA, 943052200Browse CA providers · Browse ZIP 94305
- Phone
- 6507234000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in STANFORD, CA
| Name | Credential | NPI |
|---|---|---|
| BRIAN EDWARD VAN NESS | PA-C | 1740281898 |
| DAVID E STEWART | PA-C | 1568450401 |
| DAVID W MILLER | PA-C | 1538140413 |
| JOHN ANDREW LAURENCE | PA-C | 1568445070 |
| TIMOTHY JOSEPH SOUCHEK | PA-C | 1194709881 |
| SHANE ANDREW TIPTON | PA-C | 1962482877 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.