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 1831377662

Beaver Medical Group LP is a Non-Pharmacy Dispensing Site in Colton, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1300 E Cooley Dr
Colton, CA 92324-3905
Phone: (909) 270-4179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence G58149 (CA)

Record details

NPI number1831377662
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
Other names Beaver Medical Group - Cooley Ranch
NPI enumeratedFebruary 4, 2008
Last updated in NPPESApril 25, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

Other providers in Colton