| Bella Vista Multi Specialty Medical Group Inc | |
|
3404 W Beverly Blvd Montebello CA 90640-1539 | |
| (213) 700-0390 | |
| Not Available |
| Full Name | Bella Vista Multi Specialty Medical Group Inc |
|---|---|
| Speciality | Internal Medicine - Adolescent Medicine |
| Location | 3404 W Beverly Blvd, Montebello, California |
| Authorized Official Name and Position | Vijay M Dhawan (PRESIDENT) |
| Authorized Official Contact | 2137000390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella Vista Multi Specialty Medical Group Inc 3404 W Beverly Blvd Montebello CA 90640-1539 Ph: (213) 700-0390 | Bella Vista Multi Specialty Medical Group Inc 3404 W Beverly Blvd Montebello CA 90640-1539 Ph: (213) 700-0390 |
| NPI Number | 1861428435 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861428435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A32299 (California) | Primary |
| 207RA0000X | Internal Medicine - Adolescent Medicine | 20A8058 (California) | Primary |
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