Organization
BEACON MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER JEANNE MILAM (OWNER)
(714) 731-9355
Entity
Organization
Contact information
Practice address
13372 NEWPORT AVE STE I, TUSTIN, CA 92780-3426
(714) 731-9355
(714) 731-9350
Mailing address
13372 NEWPORT AVE STE I, TUSTIN, CA 92780-3426
(714) 731-9355
(714) 731-9350
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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