Healthcare Provider Details

I. General information

NPI: 1245568476
Provider Name (Legal Business Name): AARON SNELSON BEAN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2009
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41990 COOK ST STE 1004
PALM DESERT CA
92211-6105
US

IV. Provider business mailing address

79405 HIGHWAY 111 STE 9-469
LA QUINTA CA
92253-8300
US

V. Phone/Fax

Practice location:
  • Phone: 760-565-5545
  • Fax: 760-424-5578
Mailing address:
  • Phone: 760-565-5545
  • Fax: 760-424-5578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE-4951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: