# MONTEBELLO QUALITY CARE CLINIC

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

## Provider details

- **NPI number:** 1548652266
- **Authorized official:** SHUSHAN YEGOYAN (CEO)
- **Authorized official phone:** (323) 724-7824

## Contact information

- **Practice address:** 2011 W WHITTIER BLVD, MONTEBELLO, CA 90640-4010
- **Practice address phone:** (323) 724-7824
- **Practice address fax:** (323) 724-7834
- **Mailing address:** 2011 W WHITTIER BLVD, MONTEBELLO, CA 90640-4010
- **Mailing address phone:** (323) 724-7824
- **Mailing address fax:** (323) 724-7834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2015
- **Last updated:** 03/04/2015