| Beverlycare | |
|
101 E Beverly Blvd Suite 303 Montebello CA 90640-4300 | |
| (323) 837-5147 | |
| Not Available |
| Full Name | Beverlycare |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 E Beverly Blvd, Montebello, California |
| Authorized Official Name and Position | Angel Hsiao (INTERIM CEO) |
| Authorized Official Contact | 9099391319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverlycare 101 E Beverly Blvd Ste 303 Montebello CA 90640-4316 Ph: (323) 726-1400 | Beverlycare 101 E Beverly Blvd Suite 303 Montebello CA 90640-4300 Ph: (323) 837-5147 |
| NPI Number | 1760936884 |
|---|---|
| Provider Enumeration Date | 08/05/2016 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 9537416102 |
|---|---|
| Medicare Enrollment ID | O20200615002307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760936884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (NU) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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