Individual
DR. BEVANNE A BEAN-MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16111 PLUMMER ST, VA GREATER LOS ANGELES - SEPULVEDA, SEPULVEDA, CA 91343-2036
(818) 895-9449
(818) 895-5838
Mailing address
14745 VALLEYHEART DR, SHERMAN OAKS, CA 91403-1601
(818) 895-9449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C52366
CA
207R00000X
Internal Medicine Physician
MD 068860-L
PA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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