Daniel M.Bethencourt, M.D., Inc.

LBN: Daniel M.Bethencourt, M.D., Inc.
Daniel M.Bethencourt, M.D., Inc. is an health care organization with primary practice located at 2865 Atlantic Ave Suite 205, Long Beach CA 90806-1740. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Daniel M.Bethencourt, M.D., Inc. can be contacted via phone (562) 988-9333, or through Mackel, Trudy via phone (562) 988-9333.

Contact Information

Primary practice address
2865 Atlantic Ave Suite 205 Long Beach CA 90806-1740
Phone: (562) 988-9333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mackel, Trudy
Phone: (562) 988-9333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X C41588 California

Profile Details

NPI number 1235286014
LBN Legal business name Daniel M.Bethencourt, M.D., Inc.
DBA Doing business as
Authorized official Mackel, Trudy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235286014 NPPES
California MEDICAID GR0083920

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