# BELLA VISTA MULTI SPECIALTY MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1861428435
- **Authorized official:** DR. VIJAY M DHAWAN M.D. (PRESIDENT)
- **Authorized official phone:** (213) 700-0390

## Contact information

- **Practice address:** 3404 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
- **Practice address phone:** (213) 700-0390
- **Mailing address:** 3404 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
- **Mailing address phone:** (213) 700-0390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A32299 | CA | — |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | 20A8058 | CA | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 09/11/2025