Individual
STACEY CHARLENE BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W SANTA ANA BLVD STE 1000, SANTA ANA, CA 92701-7552
(714) 480-6641
(714) 568-4362
Mailing address
200 W SANTA ANA BLVD STE 1000, SANTA ANA, CA 92701-7552
(714) 480-6767
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-PQBHKF
CA
Other
Enumeration date
03/06/2024
Last updated
05/15/2025
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