Organization · Type 2 NPI
Bea Medical Group, Inc.
Adult Medicine Physician · Cupertino, CA
NPI number
1679533780
Active
Practice location
10070 Pasadena Ave, Ste 2
Cupertino, CA 95014-5942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | FNP 34120 (CA) |
| Primary Care Clinic/Center | 261QP2300X | CLM 311477 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Other adult medicine physician providers in Cupertino
About NPI 1679533780
Bea Medical Group, Inc.'s National Provider Identifier is 1679533780, issued on Mar 23, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Cupertino, CA. The record was last updated on Apr 26, 2022.