# CHUNG MEDICAL CORPORATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BEVERLY MEDICAL CENTER, II, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386681187
- **Authorized official:** BEVERLY ELAINE THORBUS R.N. (OWNER / ADMINISTRATOR)
- **Authorized official phone:** (760) 382-3505

## Contact information

- **Practice address:** 1415 W ROSAMOND BLVD, SUITE 24, ROSAMOND, CA 93560-7429
- **Practice address phone:** (661) 256-1866
- **Practice address fax:** (661) 256-1649
- **Mailing address:** 1415 W ROSAMOND BLVD, SUITE 24, ROSAMOND, CA 93560-7429
- **Mailing address phone:** (661) 256-1866
- **Mailing address fax:** (661) 256-1649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | RHM53857G | CA | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 11/11/2008