Provider Demographics
NPI:1184821977
Name:BEFFA, DAVID CHARLES-HARVEY (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHARLES-HARVEY
Last Name:BEFFA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10868 RED ROCK DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1829
Mailing Address - Country:US
Mailing Address - Phone:708-308-1662
Mailing Address - Fax:
Practice Address - Street 1:555 CAPITOL MALL STE 260
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-4503
Practice Address - Country:US
Practice Address - Phone:916-441-0400
Practice Address - Fax:916-441-0406
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98146207P00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine