Organization
BEVERLY CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L COHEN (CEO)
(323) 837-5147
Entity
Organization
Contact information
Practice address
101 E BEVERLY BLVD STE 303, MONTEBELLO, CA 90640-4316
(323) 837-5147
Mailing address
101 E BEVERLY BLVD STE 303, MONTEBELLO, CA 90640-4316
(323) 837-5147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2212
CA
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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