| NPI | 1639344716 |
|---|---|
| Doing Business As | BEAVER MEDICAL GROUP - HIGHLAND EXTENDED CARE |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A69210) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2016-06-09 |