Healthcare Provider Details

I. General information

NPI: 1235069428
Provider Name (Legal Business Name): BEVERLY MCGUIRK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 N ESCONDIDO BLVD
ESCONDIDO CA
92026-2507
US

IV. Provider business mailing address

1341 N ESCONDIDO BLVD
ESCONDIDO CA
92026-2507
US

V. Phone/Fax

Practice location:
  • Phone: 760-818-6582
  • Fax: 760-818-6582
Mailing address:
  • Phone: 760-818-6582
  • Fax: 760-818-6582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number200629
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: