Organization
JOHN P. BEAUCLAIR, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA MONTANEZ (ADMINISTRATOR)
(626) 445-4873
Entity
Organization
Contact information
Practice address
622 W DUARTE RD, #103, ARCADIA, CA 91007-7606
(626) 445-4873
(626) 445-4878
Mailing address
622 W DUARTE RD, #103, ARCADIA, CA 91007-7606
(626) 445-4873
(626) 445-4878
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
GI7614
CA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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