Organization
BETHEL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STEWART M.D. (PRESIDENT)
(714) 534-1112
Entity
Organization
Contact information
Practice address
9535 GARDEN GROVE BLVD, SUITE 102, GARDEN GROVE, CA 92844-1550
(714) 534-1112
(714) 534-1116
Mailing address
9535 GARDEN GROVE BLVD, SUITE 102, GARDEN GROVE, CA 92844-1550
(714) 534-1112
(714) 534-1116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A34173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A34173
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
01/02/2014
Last updated
01/02/2014
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