Individual
DR. DANIEL MIGUEL BETHENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2865 ATLANTIC AVE, SUITE 205, LONG BEACH, CA 90806-1740
(562) 988-9333
(562) 424-1228
Mailing address
17360 BROOKHURST ST, ATTN: MCMF- CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C41588
CA
Other
Enumeration date
07/28/2006
Last updated
08/23/2016
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