# CARLOS BEHARIE M.D. MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013212349
- **Authorized official:** MISS JAMIE L. BOJORQUEZ (OFFICE MANAGER)
- **Authorized official phone:** (626) 652-0790

## Contact information

- **Practice address:** 4126 N. MAIN AVE, BALDWIN PARK, CA 91706-3306
- **Practice address phone:** (626) 652-0790
- **Practice address fax:** (626) 652-0799
- **Mailing address:** 4126 N. MAIN AVE, BALDWIN PARK, CA 91706-3306
- **Mailing address phone:** (626) 652-0790
- **Mailing address fax:** (626) 652-0799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G46446 | CA | Yes |
| 208000000X | Pediatrics Physician | A31300 | CA | — |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 01/18/2011