Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A135946 | CA |
NPI | 1124349402 |
---|---|
Provider Name | Brandon S Beamer |
First Address | San Francisco, CA 94145-0980 |
Second Address | El Dorado Hills, CA 95762-9670 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 12/07/2016 |