Organization
BEAVER MEDICAL GROUP P C
Active
Other names
BEAVER MEDICAL GROUP - PRIMARY CARE NORTH
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR)
(702) 450-2550
Entity
Organization
Contact information
Practice address
2 W FERN AVE, REDLANDS, CA 92373-5916
(909) 793-3311
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
G58102
CA
Other
Enumeration date
11/06/2012
Last updated
09/26/2025
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