Beron, Edward A.

Beron, Edward A. is an individual health care provider with primary practice located at 79970 Cedar Crst , La Quinta CA 92253-5032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Beron, Edward A. can be contacted via phone (760) 564-6383.

Contact Information

Primary practice address
79970 Cedar Crst La Quinta CA 92253-5032
Fax: (760) 564-6383
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C27346 California

Profile Details

NPI number 1669490553
LBN Legal business name Beron, Edward A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 25th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669490553 NPPES
California Other 00C273460 BS
California MEDICAID 00C273460 BS
California Other P00374944 BS

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