| Beverly Health Care Inc | |
|
3755 Beverly Blvd # 305 Los Angeles CA 90004-3539 | |
| (323) 426-9070 | |
| (323) 426-9381 |
| Full Name | Beverly Health Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3755 Beverly Blvd # 305, Los Angeles, California |
| Authorized Official Name and Position | Dhia Alsarraf (PRESIDENT) |
| Authorized Official Contact | 3234269070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Health Care Inc 3755 Beverly Blvd # 305 Los Angeles CA 90004-3539 Ph: (323) 426-9070 | Beverly Health Care Inc 3755 Beverly Blvd # 305 Los Angeles CA 90004-3539 Ph: (323) 426-9070 |
| NPI Number | 1639823701 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Medicare PECOS PAC ID | 2668866898 |
|---|---|
| Medicare Enrollment ID | O20220303001298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639823701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edgar C Banez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275644098 PECOS PAC ID: 6406821115 Enrollment ID: I20040826001312 |
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