Organization
BEVERLYCARE
Active
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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