| Beacon Medical Management Llc | |
|
13372 Newport Ave Ste I Tustin CA 92780-3426 | |
| (714) 731-9355 | |
| (714) 731-9350 |
| Full Name | Beacon Medical Management Llc |
|---|---|
| Speciality | General Practice |
| Location | 13372 Newport Ave Ste I, Tustin, California |
| Authorized Official Name and Position | Jennifer Jeanne Milam (OWNER) |
| Authorized Official Contact | 7147319355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Medical Management Llc 13372 Newport Ave Ste I Tustin CA 92780-3426 Ph: (714) 731-9355 | Beacon Medical Management Llc 13372 Newport Ave Ste I Tustin CA 92780-3426 Ph: (714) 731-9355 |
| NPI Number | 1902166085 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902166085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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