Most Relevant Information
Provider Data
| NPI Number: | 1003499344 |
| Provider Name: | JEWELS BEVERLY |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/04/2021 |
| Last Updated: | 05/04/2021 |
Provider Practice Location
7043 E EL PASEO ST
LONG BEACH
CA
90815
Practice Location Phone/Fax
| Phone: | 5622473770 |
| Fax: |
Provider Mailing Location
6285 E SPRING ST STE 354
LONG BEACH
CA
908084020
Provider Mailing Phone/Fax
| Phone: | 5622473770 |
| Fax: |