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NPI Code Detail

MEDICARE: SHIRLEY BEH

MEDICARE:   SHIRLEY  BEH
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1740797604
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY BEH
Provider Business Mailing Address
First Line : 721 N VULCAN AVE STE 208
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-2191
Country : US
Telephone Number : 760-634-1125
Fax Number :
Provider Business Practice Location Address
First Line : 3550 CAMINO DEL RIO N STE 104
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1738
Country : US
Telephone Number : 760-815-9536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2018
Last Update Date : 01/01/2018

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Directions to “ SHIRLEY BEH ” Practice Location

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