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NPI Code Detail

MEDICARE: BEEL MEDICAL, INC

MEDICARE: BEEL MEDICAL, INC
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
1207T00000XNeurological Surgery PhysicianA137960

General Provider Information

NPI Number : 1134667322
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEEL MEDICAL, INC
Provider Business Mailing Address
First Line : PO BOX 2426
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92654-2426
Country : US
Telephone Number : 949-588-5800
Fax Number : 949-380-3345
Provider Business Practice Location Address
First Line : 23961 CALLE DE LA MAGDALENA STE 405
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-3683
Country : US
Telephone Number : 949-588-5800
Fax Number : 949-380-3345
Authorized Official
Title or Position : PHYSICIAN
Name : JASON A LIAUW
Credential : MD
Telephone Number : 949-588-5800
Provider Enumeration Date : 02/07/2017
Last Update Date : 09/12/2019

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