Individual
DANIEL JOHN BEBEREIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8893 LA MESA BLVD, STE D, LA MESA, CA 91942-5448
(619) 460-5111
Mailing address
22 RUNNING BROOK DR, COTO DE CAZA, CA 92679-5221
(949) 293-9304
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A115593
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2009
Last updated
05/28/2013
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