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NPI Code Detail

MEDICARE: GREGORY JEROLD BEEVE MD

MEDICARE: GREGORY JEROLD BEEVE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA61657CA

General Provider Information

NPI Number : 1134144223
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY JEROLD BEEVE MD
Provider Business Mailing Address
First Line : 1818 VERDUGO BLVD STE 401
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1421
Country : US
Telephone Number : 818-790-1145
Fax Number : 818-790-6387
Provider Business Practice Location Address
First Line : 1818 VERDUGO BLVD STE 401
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1421
Country : US
Telephone Number : 818-790-1145
Fax Number : 818-790-6387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 08/22/2023

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Directions to “ GREGORY JEROLD BEEVE MD” Practice Location

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