Individual
ANTHONY JOHN BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(657) 261-7140
Mailing address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(657) 261-7140
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-BZAHOQ
CA
Other
Enumeration date
01/03/2022
Last updated
05/08/2025
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