Gaitan, Beverly Z.

Gaitan, Beverly Z. is an individual health care provider with primary practice located at 23781 Maquina , Mission Viejo CA 92691-2716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gaitan, Beverly Z. can be contacted via phone (949) 455-4320.

Contact Information

Primary practice address
23781 Maquina Mission Viejo CA 92691-2716
Phone: (949) 455-4320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A64311 California

Profile Details

NPI number 1528142593
LBN Legal business name Gaitan, Beverly Z.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 2nd, 2021 - about 3 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 1528142593 NPPES
California MEDICAID 00A643110

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