Basic Information
| Provider Information | |||||||||
| NPI: | 1093887747 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BEGLEY | ||||||||
| FirstName: | J. SEAN | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | BEGLEY | ||||||||
| OtherFirstName: | JASON | ||||||||
| OtherMiddleName: | SEAN | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1433 MERCED AVE | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | WEST COVINA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91790 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6263378000 | ||||||||
| FaxNumber: | 6263371145 | ||||||||
| Practice Location | |||||||||
| Address1: | 1433 MERCED AVE | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | WEST COVINA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91790 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6263378000 | ||||||||
| FaxNumber: | 6263371145 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2006 | ||||||||
| LastUpdateDate: | 09/10/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | A70931 | CA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.