Individual
JANE BEAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-6220
Mailing address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 359-6220
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
ORCQLJABPYSTVXWI
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
RUHS/BH
CA
Enumeration date
07/21/2016
Last updated
03/31/2023
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