Provider Demographics
NPI:1548372899
Name:BEALS, STEVEN ALAN (CRNA)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALAN
Last Name:BEALS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 PROMONTORY DR
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-3860
Mailing Address - Country:US
Mailing Address - Phone:562-810-2100
Mailing Address - Fax:
Practice Address - Street 1:2321 PROMONTORY DR
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-3860
Practice Address - Country:US
Practice Address - Phone:562-810-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1814367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN4733490OtherMEDI-CAL