Organization · Type 2 NPI

Beaver Medical Group LP

Non-Pharmacy Dispensing Site · Banning, CA

NPI number 1881857597 Active

Practice location

6109 W Ramsey St
Banning, CA 92220-3051

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XC51632 (CA)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

24 other providers at this address

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About NPI 1881857597

Beaver Medical Group LP's National Provider Identifier is 1881857597, issued on Jul 3, 2008. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Banning, CA. The record was last updated on Apr 25, 2013.