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Organization

BEVERLYCARE

Active
Other names
BeverlyCare Family Clinic, BeverlyCare
Organization subpart
No

Provider details

NPI number
Authorized official
ANGEL HSIAO (INTERIM CEO)
(909) 939-1319
Entity
Organization

Contact information

Practice address
101 E BEVERLY BLVD, SUITE 303, MONTEBELLO, CA 90640-4300
(323) 837-5147
Mailing address
101 E BEVERLY BLVD STE 303, MONTEBELLO, CA 90640-4316
(323) 726-1400

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
08/05/2016
Last updated
10/07/2024
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