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Organization
BELLA MEDICAL GROUP INC
Active
Organization
BELLA MEDICAL GROUP INC
Active
Other names
Clinica Familiar East LA, San Juan Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE SERGIO SANDOVAL PA-C (AUTHORIZED OFFICIAL)
(562) 716-5620
Entity
Organization
Contact information
Practice address
2933 WHITTIER BLVD, LOS ANGELES, CA 90023-1528
(323) 263-2669
(323) 263-2673
Mailing address
2933 WHITTIER BLVD, LOS ANGELES, CA 90023-1528
(323) 263-2669
(323) 263-2673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A60865
CA
208000000X
Pediatrics Physician
A73468
CA
Other
Enumeration date
10/03/2011
Last updated
03/12/2020
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