BEVERLY GARDEN MEDICAL GROUP INC. NPI 1225452048

NPI Information

NPI: 1225452048
Provider Name: BEVERLY GARDEN MEDICAL GROUP, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
7916 EASTERN AVE STE 102
BELL GARDENS, CA
ZIP 90201
Phone: (562) 928-7060
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BEVERLY GARDEN MEDICAL GROUP, INC. is an ambulatory surgical clinic center in Bell Gardens, CA. BEVERLY GARDEN MEDICAL GROUP, INC. NPI is 1225452048. The provider is registered as an organization entity type.

The provider's business location address is:

7916 EASTERN AVE STE 102
BELL GARDENS, CA
ZIP 90201-464
Phone: (562) 928-7060
Fax: (562) 928-7090

The provider's authorized official is Fred Sahafi .
The authorized official title is Medical Director/ Owner and has the following contact phone number (562) 928-7060.

The enumeration date for this NPI number is 2/13/2014 and was last updated on 11/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	00170368	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	557672	OTHER	CALIFORNIA	JOINT COMMISSION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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