Organization
BECKA HEALTHCARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRON WADE BETHEL M.D. (MANAGING PARTNER)
(213) 241-0901
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 1000, LOS ANGELES, CA 90017-4001
(213) 241-0901
Mailing address
1127 WILSHIRE BLVD STE 1000, LOS ANGELES, CA 90017-4001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G045159
CA
Other
Enumeration date
12/08/2006
Last updated
08/09/2007
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