Individual
DR. GARY E BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4180 PARK BLVD, OAKLAND, CA 94602
(510) 530-5437
(510) 530-9703
Mailing address
4180 PARK BLVD, OAKLAND, CA 94602
(510) 530-5437
(510) 530-9703
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G53663
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G53663
MEDICAL
CA
Enumeration date
08/17/2006
Last updated
12/06/2011
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