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Organization

BRIAN A BECK MD A MEDICAL CORP ETAL PTR LEONARD A GALE MD MEDICAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA SHAVER (BUSINESS ADMINISTRATOR)
(562) 698-6296
Entity
Organization

Contact information

Practice address
101 E BEVERLY BLVD, SUITE 206, MONTEBELLO, CA 90640-4300
(323) 725-7297
(323) 725-0335
Mailing address
12291 WASHINGTON BLVD, SUITE 303, WHITTIER, CA 90606-2500
(562) 698-6296
(562) 693-6752

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A23344
STATE LICENSE
CA
01
A25381
STATE LICENSE
CA
01
A61369
STATE LICENSE
CA
01
A69058
STATE LICENSE
CA
01
G40274
STATE LICENSE
CA
Enumeration date
01/31/2007
Last updated
09/25/2009
About Stedi
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  • Eligibility checks
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