Organization
BELLA MEDICAL GROUP INC
Active
Other names
Clinica Familiar East LA, San Juan Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE SERGIO SANDOVAL PA-C (AUTHORIZED OFFICIAL)
(562) 716-5620
Entity
Organization
Contact information
Practice address
2933 WHITTIER BLVD, LOS ANGELES, CA 90023-1528
(323) 263-2669
(323) 263-2673
Mailing address
2933 WHITTIER BLVD, LOS ANGELES, CA 90023-1528
(323) 263-2669
(323) 263-2673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A60865
CA
208000000X
Pediatrics Physician
A73468
CA
Other
Enumeration date
10/03/2011
Last updated
03/12/2020
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