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Organization
AREVALO FAMILY MEDICAL GROUP INCORPORATED
Active
Organization
AREVALO FAMILY MEDICAL GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO ANTONIO AREVALO M.D. (CHIEF EXECUTIVE OFFICER)
(323) 446-0201
Entity
Organization
Contact information
Practice address
1217 W WHITTIER BLVD, MONTEBELLO, CA 90640-4300
(323) 728-6070
Mailing address
1217 W WHITTIER BLVD, MONTEBELLO, CA 90640-4642
(323) 728-6070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
03/16/2009
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