Organization
CARLOS BEHARIE M.D. MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE BOJORQUEZ (OFFICE MANAGER)
(626) 652-0790
Entity
Organization
Contact information
Practice address
4160 N. MAINE AVE, SUITE B1, B2, B3, BALDWIN PARK, CA 91706-3304
(626) 653-0800
(626) 244-0485
Mailing address
4160 MAINE AVE STE B1B2B3, BALDWIN PARK, CA 91706-3304
(626) 653-0800
(626) 244-0485
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
CA
207VG0400X
Gynecology Physician
Primary
—
CA
2080A0000X
Pediatric Adolescent Medicine Physician
—
CA
Other
Enumeration date
05/14/2014
Last updated
06/04/2014
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