Organization
AREVALO FAMILY MEDICAL GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO ANTONIO AREVALO M.D. (CHIEF EXECUTIVE OFFICER)
(323) 446-0201
Entity
Organization
Contact information
Practice address
1217 W WHITTIER BLVD, MONTEBELLO, CA 90640-4300
(323) 728-6070
Mailing address
1217 W WHITTIER BLVD, MONTEBELLO, CA 90640-4642
(323) 728-6070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
03/16/2009
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