Organization
CARLOS BEHARIE M.D. MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE L. BOJORQUEZ (OFFICE MANAGER)
(626) 652-0790
Entity
Organization
Contact information
Practice address
10050 GARVEY AVE,, SUITE 111, EL MONTE, CA 91733-2089
(626) 652-0790
(626) 652-0799
Mailing address
10050 GARVEY AVE,, SUITE 111, EL MONTE, CA 91733-2089
(626) 652-0790
(626) 652-0799
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G46446
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G46446A
CA
208000000X
Pediatrics Physician
A31300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0095571
MEDI-CAL
CA
Enumeration date
10/04/2005
Last updated
12/28/2009
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