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BEVERLY HENDRICKS COTA/C
NPI 1174769525
Specialist in Fullerton, CA

Active since January 06, 2009
1612 E UNION AVE, FULLERTON, CA 92831(714) 639-4990 Get Directions Write a Review

NPPES record last updated: January 6, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Beverly Hendricks Cota/c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY HENDRICKS COTA/C (NPI 1174769525) is an individual specialist in Fullerton, California, licensed in California (1074989) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1174769525
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameBEVERLY HENDRICKSCredential: COTA/C
Location Address1612 E UNION AVEFullerton, CA 92831-2936
Mailing Address1612 E Union AveFullerton, CA 92831-2936 · (714) 639-4990
Phone(714) 639-4990
Sole ProprietorNo
Enumeration DateJanuary 6, 2009
✔ NPI 1174769525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · 1074989
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1612 E UNION AVE, Fullerton, CA 92831
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Hendricks's NPI number?

The NPI number for Beverly Hendricks is 1174769525. It was assigned to this individual provider in the NPPES registry on January 6, 2009.

Where is Beverly Hendricks located?

Beverly Hendricks practices at 1612 E Union Ave, Fullerton, CA 92831. The listed phone number is (714) 639-4990.

What is Beverly Hendricks's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Beverly Hendricks was last updated on January 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.