Organization
BEAVER MEDICAL GROUP, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T CHEN (SENIOR MEDICAL DIRECTOR)
(909) 793-3311
Entity
Organization
Contact information
Practice address
259 TERRACINA BLVD, REDLANDS, CA 92373-4847
(909) 793-2634
(909) 796-4158
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
02/19/2020
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