Organization
BEAVER MEDICAL GROUP, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES CHEN M.D. (SENIOR MEDICAL DIRECTOR)
(909) 793-3311
Entity
Organization
Contact information
Practice address
7223 CHURCH ST, STE C, HIGHLAND, CA 92346-5869
(909) 862-1191
(909) 796-4158
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
06/29/2006
Last updated
09/25/2019
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