| Beverlycare | |
|
101 E Beverly Blvd Suite 303 Montebello CA 90640-4300 | |
| (323) 837-5147 | |
| Not Available |
| Full Name | Beverlycare |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 E Beverly Blvd, Montebello, California |
| Authorized Official Name and Position | Angel Hsiao (INTERIM CEO) |
| Authorized Official Contact | 9099391319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverlycare 101 E Beverly Blvd Ste 303 Montebello CA 90640-4316 Ph: (323) 726-1400 | Beverlycare 101 E Beverly Blvd Suite 303 Montebello CA 90640-4300 Ph: (323) 837-5147 |
| NPI Number | 1760936884 |
|---|---|
| Provider Enumeration Date | 08/05/2016 |
| Last Update Date | 10/07/2024 |
| Medicare PECOS PAC ID | 9537416102 |
|---|---|
| Medicare Enrollment ID | O20180727002401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760936884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Jaw J Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336220318 PECOS PAC ID: 3072835933 Enrollment ID: I20141210002401 |
| Provider Name | Linda H Chon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982022729 PECOS PAC ID: 0345535514 Enrollment ID: I20170830002623 |
| Provider Name | Yu Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043661556 PECOS PAC ID: 6800149170 Enrollment ID: I20181102002015 |
| Provider Name | Fenny Kuan Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609237155 PECOS PAC ID: 5698199164 Enrollment ID: I20200717000392 |
| Provider Name | Richard Fabian Cabrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285011387 PECOS PAC ID: 2062822091 Enrollment ID: I20201103002358 |
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Abdul M. Alaama, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Beverly Blvd Ste 204, Montebello, CA 90640 Phone: 323-728-8009 Fax: 323-728-3855 | |
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Beverly Care Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Beverly Blvd Ste 303, Montebello, CA 90640 Phone: 323-837-5147 |