Beverly Pediatric Medical Group, Inc. in Montebello - Pediatrics
Beverly Pediatric Medical Group, Inc. - NPI 1508963653
Beverly Pediatric Medical Group, Inc. is a Pediatrics in Montebello, California. Beverly Pediatric Medical Group, Inc. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Beverly Pediatric Medical Group, Inc. is 1508963653. The last update date is 2013-08-14.
Beverly Pediatric Medical Group, Inc.'s current location address is 1417 W Beverly Blvd, Montebello, California. You can contact this provider via phone number 3237283270. The mailing address for Beverly Pediatric Medical Group, Inc. is 1417 W Beverly Blvd, Montebello, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beverly Pediatric Medical Group, Inc. |
|---|---|
| Address | 1417 W Beverly Blvd, Montebello, California |
| Phone Number | 3237283270 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | De La Rocha Nahun Hector |
| Credentials | M.D. |
| Telephone Number | 3237283270 |
NPI Number Detail
| NPI Number | 1508963653 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2013-08-14 |
Provider Mailing Address Detail
| Address | 1417 W Beverly Blvd |
|---|---|
| City | Montebello |
| State | California (CA) |
| Post Code | 906404146 |
| Phone Number | 3237283270 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | G42466 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0013040 | CA | -- |
Post Comment/ Review Below
What is the Beverly Pediatric Medical Group, Inc.'s 1508963653?
The Beverly Pediatric Medical Group, Inc.'s NPI (National Provider Identifier) Number is 1508963653. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Beverly Pediatric Medical Group, Inc.?
The Beverly Pediatric Medical Group, Inc. is physically situated at 1417 W Beverly Blvd, in the city of Montebello, state of CA, with the postal code 906404146.
What is the area of specialization for Beverly Pediatric Medical Group, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Beverly Pediatric Medical Group, Inc. is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
When was the Beverly Pediatric Medical Group, Inc.'s information last updated?
The Beverly Pediatric Medical Group, Inc.'s information was last updated on 2013-08-14.
When was the information pertaining to Beverly Pediatric Medical Group, Inc. most recently updated or revised?
The details related to Beverly Pediatric Medical Group, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2013-08-14.