| A Professional Corporation | |
|
101 E Beverly Blvd Ste. 401 Montebello CA 90640-4317 | |
| (323) 722-2260 | |
| (323) 722-2130 |
| Full Name | A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 E Beverly Blvd, Montebello, California |
| Authorized Official Name and Position | Mohammad Asif Chaudhry (PRESIDENT) |
| Authorized Official Contact | 3237222260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Professional Corporation 101 E Beverly Blvd Ste. 401 Montebello CA 90640-4317 Ph: (323) 722-2260 | A Professional Corporation 101 E Beverly Blvd Ste. 401 Montebello CA 90640-4317 Ph: (323) 722-2260 |
| NPI Number | 1225251762 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 12/18/2007 |
| Medicare PECOS PAC ID | 9436248705 |
|---|---|
| Medicare Enrollment ID | O20071210000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225251762 | NPI | - | NPPES |
| A54998 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammad A Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760423669 PECOS PAC ID: 4789697418 Enrollment ID: I20060725000480 |
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