| Bethel Family Medical Group Inc | |
|
720 N Harbor Blvd B Fullerton CA 92832-1505 | |
| (714) 782-7700 | |
| (714) 982-3979 |
| Full Name | Bethel Family Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 720 N Harbor Blvd, Fullerton, California |
| Authorized Official Name and Position | Wonbae Choe (PRESIDENT) |
| Authorized Official Contact | 7147827700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethel Family Medical Group Inc 720 N Harbor Blvd B Fullerton CA 92832-1505 Ph: (714) 782-7700 | Bethel Family Medical Group Inc 720 N Harbor Blvd B Fullerton CA 92832-1505 Ph: (714) 782-7700 |
| NPI Number | 1467848747 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 7719294438 |
|---|---|
| Medicare Enrollment ID | O20150914000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467848747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Won Bae Choe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104955194 PECOS PAC ID: 8729078308 Enrollment ID: I20040514001265 |
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