Provider Demographics
NPI:1548540933
Name:BEAL, ELIZABETH CLAUDIA HOPKIRK (DO)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CLAUDIA HOPKIRK
Last Name:BEAL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:CLAUDIA HOPKIRK
Other - Last Name:BEAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:200 S MAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-9366
Mailing Address - Country:US
Mailing Address - Phone:805-670-2180
Mailing Address - Fax:805-273-0298
Practice Address - Street 1:200 S MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-9366
Practice Address - Country:US
Practice Address - Phone:805-670-2180
Practice Address - Fax:805-273-0298
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020011522207Q00000X
HI1639207Q00000X
CA20A12780207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA77631OtherKAREO EHR