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Organization
BELLA MEDICAL GROUP INC
Active
Organization
BELLA MEDICAL GROUP INC
Active
Parent organization
BELLA MEDICAL GROUP INC
Other names
San Juan Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLA MEDICAL GROUP INC
Authorized official
JOSE SERGIO SANDOVAL PA-C (AUTHORIZED OFFICIAL)
(562) 716-5620
Entity
Organization
Contact information
Practice address
9916 SAN JUAN AVE, SOUTH GATE, CA 90280-6108
(323) 564-1100
Mailing address
9916 SAN JUAN AVE, SOUTH GATE, CA 90280-6108
(323) 564-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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