Provider Demographics
NPI:1043374473
Name:BEAIRD, CHYLE E (MD)
Entity Type:Individual
Prefix:DR
First Name:CHYLE
Middle Name:E
Last Name:BEAIRD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1057 E IMPERIAL HWY
Mailing Address - Street 2:SUITE 614
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-1717
Mailing Address - Country:US
Mailing Address - Phone:949-855-8845
Mailing Address - Fax:949-855-9167
Practice Address - Street 1:24401 MUIRLANDS BLVD STE C
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-3949
Practice Address - Country:US
Practice Address - Phone:949-855-8845
Practice Address - Fax:949-855-9167
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2018-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG81865207QS0010X, 2083X0100X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine