Dr. Chyle E Beaird, M.D.
Family Medicine in Lake Forest, CA. Individual provider (NPI-1).
NPI number1043374473
StatusActive
Last updated in NPPESMar 15, 2018
Details
- NPI
- 1043374473
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chyle E Beaird
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2006
- Last updated
- Mar 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G81865 | CA | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | G81865 | CA | |
| 2083X0100X | Preventive Medicine, Occupational Medicine | G81865 | CA |
Practice location
24401 Muirlands Blvd Ste CLake Forest, CA 92630-3949
Phone 949-855-8845 · Fax 949-855-9167
Mailing address
1057 E Imperial HwySuite 614
Placentia, CA 92870-1717
Phone 949-855-8845 · Fax 949-855-9167
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