NPI 1306910906

Beverly R Hendrickson, MD

Practitioner Pediatrics Physician San Juan Capistrano, CA

Practice location

Address: 30230 Rancho Viejo Rd Suite a, San Juan Capistrano, CA 92675
Phone: (949) 493-7337
Fax: (949) 373-1300

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence G40908 (CA)

Other Pediatrics providers in California →

Registry record

NPI: 1306910906
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.