Organization
BEAVER MEDICAL GROUP P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR)
(702) 480-2550
Entity
Organization
Contact information
Practice address
245 TERRACINA BLVD, SUITE # 105, REDLANDS, CA 92373-4852
(909) 792-9737
(909) 796-4158
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 480-2550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ42611Z
MEDICARE PTAN
—
Enumeration date
06/13/2006
Last updated
07/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us