Individual
DR. BRIAN BEITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7000 BOULDER AVE, HIGHLAND, CA 92346-3348
(909) 862-1191
(909) 796-4158
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
(909) 796-4158
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A65151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A651510
—
CA
Enumeration date
06/19/2006
Last updated
04/06/2015
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