Healthcare Provider Details

I. General information

NPI: 1184821977
Provider Name (Legal Business Name): DAVID CHARLES-HARVEY BEFFA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 04/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 CAPITOL MALL STE 260
SACRAMENTO CA
95814-4503
US

IV. Provider business mailing address

10868 RED ROCK DR
SAN DIEGO CA
92131-1829
US

V. Phone/Fax

Practice location:
  • Phone: 916-441-0400
  • Fax: 916-441-0406
Mailing address:
  • Phone: 708-308-1662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA98146
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA98146
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: