Beverly Internal Medicine Medical Group Inc.
LBN: Beverly Internal Medicine Medical Group Inc.
Beverly Internal Medicine Medical Group Inc. is an health care organization with primary practice located at 2614 W Beverly Blvd , Montebello CA 90640-2310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Beverly Internal Medicine Medical Group Inc. can be contacted via phone (323) 728-0653, or through Sarkar, Soumitra via phone (323) 728-0653.
Contact Information
Primary practice address
2614 W Beverly Blvd
Montebello CA 90640-2310
Phone: (323) 728-0653
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A53499 | California |
Profile Details
| NPI number | 1568642197 |
|---|---|
| LBN Legal business name | Beverly Internal Medicine Medical Group Inc. |
| DBA Doing business as | |
| Authorized official | Sarkar, Soumitra Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2007 |
| Last updated | Feb 21st, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568642197 | NPPES |
| California | Other | 110208996 | RAILROAD MEDICARE |
| California | MEDICAID | 00A534990 | RAILROAD MEDICARE |
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