Individual provider · Type 1 NPI

Juanita Beverly

Rehabilitation Practitioner · San Diego, CA

NPI number 1497586705 Active

Practice location

292 Euclid Ave Ste 225
San Diego, CA 92114-3629

Fax (858) 325-8417

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist 175T00000XMPSS-MBQXZL (CA)
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1497586705

Juanita Beverly's National Provider Identifier is 1497586705, issued on Aug 8, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Aug 15, 2026.