Graduated: 2014
NPI: 1831583079
Practice Locations (2)
BEAVER MEDICAL GROUP P C
6109 W RAMSEY ST
BANNING, CA 922203051
9098450313
IMPERIAL BEACH COMMUNITY CLINIC
949 PALM AVE
IMPERIAL BEACH, CA 919321503
6194293733
Source: CMS National Downloadable File, September 2026.