Individual
CHARLES A BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1180 3RD AVE STE C3, CHULA VISTA, CA 91911-3139
(619) 691-8164
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
(619) 442-0277
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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