Individual
MR. CHRISTIAN MATTHEW BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 SUNRISE AVE STE 300, ROSEVILLE, CA 95661-4144
(530) 470-2409
Mailing address
406 SUNRISE AVE STE 300, ROSEVILLE, CA 95661-4144
(530) 470-2409
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B7378614
DRIVERS LICENSE
CA
Enumeration date
11/10/2021
Last updated
04/17/2025
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