Individual
BEVERLY Z. GAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23781 MAQUINA, MISSION VIEJO, CA 92691-2716
(949) 455-4320
Mailing address
23781 MAQUINA, MISSION VIEJO, CA 92691-2716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A64311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A643110
—
CA
Enumeration date
10/25/2006
Last updated
12/02/2021
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