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Beaver Medical Group

Physical Therapist, Orthopedic in Loma Linda, CA. Organization (NPI-2).

NPI number1639624992
StatusActive
Last updated in NPPESAug 16, 2016

Details

NPI
1639624992
Entity type
Organization (NPI-2)
Legal business name
Beaver Medical Group
Organization subpart
No
Enumeration date
Aug 16, 2016
Last updated
Aug 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic–CAYes

Practice location

25815 Sunrise Way
Loma Linda, CA 92354-3847

Phone 423-785-7151

Mailing address

25815 Sunrise Way
Loma Linda, CA 92354-3847

Phone 423-785-7151

Authorized official

William Jih
Medical Director For Bmg
9093354129

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