Beaver Medical Group - Cooley Ranch

LBN: Beaver Medical Group Lp
Beaver Medical Group - Cooley Ranch is an health care organization with primary practice located at 1300 E Cooley Dr , Colton CA 92324-3905. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Beaver Medical Group Lp can be contacted via phone (909) 270-4179, or through Heine, Kenny via phone (858) 625-2990.

Contact Information

Primary practice address
1300 E Cooley Dr Colton CA 92324-3905
Phone: (909) 270-4179
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 625-2990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X G58149 California

Profile Details

NPI number 1831377662
LBN Legal business name Beaver Medical Group Lp
DBA Doing business as Beaver Medical Group - Cooley Ranch
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 4th, 2008
Last updated Apr 25th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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