Organization
CARLOS BEHARIE MD MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS BEHARIE MD (OWNER)
(323) 584-8700
Entity
Organization
Contact information
Practice address
2542 E FLORENCE AVE, #B, WALNUT PARK, CA 90255-4780
(323) 584-8700
(323) 584-5472
Mailing address
10050 GARVEY AVE, #111, EL MONTE, CA 91733-2088
(626) 652-0790
(626) 652-0799
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G46446
CA
208000000X
Pediatrics Physician
Primary
A31300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0095570
MEDI-CAL
—
Enumeration date
10/04/2005
Last updated
09/11/2025
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