# WILLIAM S BEAL DPM PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679878565
- **Authorized official:** ANDREW THIO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (951) 788-2001

## Contact information

- **Practice address:** 4217 LUTHER ST, RIVERSIDE, CA 92506-2853
- **Practice address phone:** (951) 788-2001
- **Mailing address:** 4217 LUTHER ST, RIVERSIDE, CA 92506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E19640 | CA | Yes |

## Other

- **Enumeration date:** 01/24/2011
- **Last updated:** 04/26/2011