Organization
DANIEL M.BETHENCOURT, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRUDY MACKEL (OFFICE ADMINISTRATOR)
(562) 988-9333
Entity
Organization
Contact information
Practice address
2865 ATLANTIC AVE, SUITE 205, LONG BEACH, CA 90806-1740
(562) 988-9333
Mailing address
2865 ATLANTIC AVE, SUITE 205, LONG BEACH, CA 90806-1740
(562) 988-9333
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C41588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083920
—
CA
Enumeration date
01/04/2007
Last updated
08/22/2020
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