Individual
JEROLD EDMOND BEEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1809 VERDUGO BLVD, SUITE 150, GLENDALE, CA 91208-1416
(818) 790-8001
(818) 790-7757
Mailing address
1809 VERDUGO BLVD, SUITE 150, GLENDALE, CA 91208-1416
(818) 790-8001
(818) 790-7757
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G018274
CA
Other
Enumeration date
10/23/2006
Last updated
04/22/2008
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