Organization
CHUNG MEDICAL CORPORATION, INC
Active
Other names
BEVERLY MEDICAL CENTER, II, INC
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ELAINE THORBUS R.N. (OWNER / ADMINISTRATOR)
(760) 382-3505
Entity
Organization
Contact information
Practice address
1415 W ROSAMOND BLVD, SUITE 24, ROSAMOND, CA 93560-7429
(661) 256-1866
(661) 256-1649
Mailing address
1415 W ROSAMOND BLVD, SUITE 24, ROSAMOND, CA 93560-7429
(661) 256-1866
(661) 256-1649
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
RHM53857G
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP53857G
—
CA
05
—
RHM53857G
—
CA
Enumeration date
06/01/2006
Last updated
11/11/2008
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