Organization
J RONALD BEAN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RONALD BEAN MD (PRESIDENT J RONALD BEAN MED CORP)
(415) 923-0400
Entity
Organization
Contact information
Practice address
4333 CALIFORNIA STREET, SAN FRANCISCO, CA 94118-1376
(415) 923-0400
(415) 666-3176
Mailing address
PO BOX # 597004, PMB# 736, SAN FRANCISCO, CA 94159-7004
(415) 923-0400
(415) 666-3176
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A201230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A201230
BL SHIELD CALIFORNIA
CA
Enumeration date
11/21/2006
Last updated
08/22/2020
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