Organization
BEVERLY GARDEN MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED SAHAFI M.D (MEDICAL DIRECTOR/ OWNER)
(562) 928-7060
Entity
Organization
Contact information
Practice address
7916 EASTERN AVE STE 102, BELL GARDENS, CA 90201-5464
(562) 928-7060
(562) 928-7090
Mailing address
7916 EASTERN AVE STE 102, BELL GARDENS, CA 90201-5464
(562) 928-7060
(562) 928-7090
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
00170368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
557672
JOINT COMMISSION
CA
Enumeration date
02/13/2014
Last updated
11/19/2014
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