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Individual

DR. CARLOS S. BEHARIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1433 W MERCED AVE, SUITE 103, WEST COVINA, CA 91790-3402
(626) 337-8000
(626) 337-1145
Mailing address
1433 W. MERCED AVE, SUITE 103, WEST COVINA, CA 91790-3402
(626) 652-0790
(626) 652-0799

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G46446
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G464460
CA
05
00G46446A
CA
01
1801094131
INDIVIDUAL NPI
CA
Enumeration date
07/09/2007
Last updated
09/18/2014
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