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Organization
MONTEBELLO MEDICAL CENTER INC
Active
Organization
MONTEBELLO MEDICAL CENTER INC
Active
Other names
MONTEBELLO SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD SAMPSON MD (PRESIDENT)
(323) 728-7998
Entity
Organization
Contact information
Practice address
229 E BEVERLY BLVD, MONTEBELLO, CA 90640-3776
(323) 728-7998
Mailing address
229 E BEVERLY BLVD, MONTEBELLO, CA 90640-3776
(323) 728-7998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180034745
RAILROAD MEDICARE
CA
Enumeration date
04/11/2008
Last updated
03/12/2012
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