Organization
BEVERLYCARE
Active
Other names
BeverlyCare Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL HSIAO (CEO CFO)
(909) 939-1319
Entity
Organization
Contact information
Practice address
433 N 4TH ST STE 205A, MONTEBELLO, CA 90640-4311
(909) 939-1319
Mailing address
433 N 4TH ST STE 205A, MONTEBELLO, CA 90640-4311
(909) 939-1319
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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