Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaver Medical Group LP

Organization Non-Pharmacy Dispensing Site · NPI 1578991816

Beaver Medical Group LP is a Non-Pharmacy Dispensing Site in Redlands, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 W Fern Ave Ste 200
Redlands, CA 92373-5916
Phone: (909) 793-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence A96734 (CA)

Record details

NPI number1578991816
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Beaver Medical Group - Internal
NPI enumeratedOctober 24, 2013
Last updated in NPPESOctober 24, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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