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DANIEL M.BETHENCOURT M.D. INC. NPI 1235286014


NPI Information

NPI: 1235286014
Provider Name: DANIEL M.BETHENCOURT, M.D., INC.
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
2865 ATLANTIC AVE
SUITE 205
LONG BEACH, CA
ZIP 90806
Phone: (562) 988-9333
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DANIEL M.BETHENCOURT, M.D., INC. is a thoracic surgery cardiothoracic vascular surgery in Long Beach, CA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DANIEL M.BETHENCOURT, M.D., INC. NPI is 1235286014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2865 ATLANTIC AVE
SUITE 205
LONG BEACH, CA
ZIP 90806-740
Phone: (562) 988-9333

The provider's authorized official is Trudy Mackel .
The authorized official title is Office Administrator and has the following contact phone number (562) 988-9333.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)C41588CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0083920MEDICAIDCALIFORNIA

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: 11/14/2023

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