Organization
BELLA VISTA MULTI SPECIALTY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY M DHAWAN M.D. (PRESIDENT)
(213) 700-0390
Entity
Organization
Contact information
Practice address
3404 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(213) 700-0390
Mailing address
3404 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(213) 700-0390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A32299
CA
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
20A8058
CA
Other
Enumeration date
06/24/2006
Last updated
09/11/2025
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