Beau Ryan Herrera

Athletic Trainer · Temecula, CA

Individual Active NPI

NPI number 1598466765

Practice location

32555 Deer Hollow Way
Temecula, CA 92592-1283
Phone
(951) 294-6450

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NPI record

NPI
1598466765
Entity type
Individual (Type 1)
Enumeration date
March 15, 2023
Last updated
March 4, 2024
Certified
March 4, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

4739 Mansfield St Apt 7
San Diego, CA 92116-2451

About Beau Herrera

Beau Ryan Herrera is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 32555 Deer Hollow Way, Temecula, CA 92592-1283. The NPI number 1598466765 was assigned on March 15, 2023 and the record was last updated on March 4, 2024.

Frequently asked questions

What is the NPI number of Beau Ryan Herrera?

The NPI number is 1598466765.

What is the phone number of Beau Herrera?

The phone number listed for the practice location is (951) 294-6450.

Where is Beau Herrera located?

32555 Deer Hollow Way, Temecula, CA 92592-1283.

What is the taxonomy code for Beau Herrera?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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