Beverly Pediatric Medical Group, Inc.
Pediatrics
Beverly Pediatric Medical Group, Inc. is a Montebello, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1417 W Beverly Blvd, Suite 102, Montebello, California - 90640-4123. They can be contacted on phone at
323-728-3270 and fax number 323-728-2141.
NPI number (Unique professional ID) for Beverly Pediatric Medical Group, Inc. is
1508963653 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 14 Aug, 2013.
Beverly Pediatric Medical Group, Inc. license number is
G42466 for Pediatrics (208000000X) in California.
Beverly Pediatric Medical Group, Inc. is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Beverly Pediatric Medical Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Beverly Pediatric Medical Group, Inc. |
|---|
Business Address:
Beverly Pediatric Medical Group, Inc. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1417 W Beverly Blvd, Suite 102
Montebello, CA, 90640-4123
United States |
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| Phone Number : | 323-728-3270 |
|---|
| Fax Number : | 323-728-2141 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508963653 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 14 Aug, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Hectornahun De La Rocha |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT/OWNER |
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| Phone Number : | 323-728-3270 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beverly Pediatric Medical Group, Inc. are as mentioned. Primary taxonomy code for Beverly Pediatric Medical Group, Inc. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G42466 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Beverly Pediatric Medical Group, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0013040 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1417 W Beverly Blvd, Suite 102
Montebello, CA, 90640-4146
United States |
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| Phone Number : | 323-728-3270 |
|---|
Business Location:
Patients can refer following map for directions to
Beverly Pediatric Medical Group, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.