Organization
BEVERLYCARE
Active
Organization
BEVERLYCARE
Active
Other names
BeverlyCare Pediatrics, Beverly Care Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL HSIAO (CHIEF EXECUTIVE OFFICER)
(323) 920-0505
Entity
Organization
Contact information
Practice address
101 E BEVERLY BLVD STE 301, MONTEBELLO, CA 90640-4316
(323) 726-1400
Mailing address
101 E BEVERLY BLVD STE 301, MONTEBELLO, CA 90640-4316
(323) 920-0505
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
02/11/2026
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