MEDICARE: BEVERLY ONCOLOGY & IMAGING CENTER MEDICAL GR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician

General Provider Information

NPI Number	:	1740350354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEVERLY ONCOLOGY & IMAGING CENTER MEDICAL GR

Provider Business Mailing Address
First Line	:	120 W BEVERLY BLVD
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-4305
Country	:	US
Telephone Number	:	323-517-9816
Fax Number	:	323-728-9936

Provider Business Practice Location Address
First Line	:	120 W BEVERLY BLVD
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-4305
Country	:	US
Telephone Number	:	323-724-8780
Fax Number	:	323-728-9936

Authorized Official
Title or Position	:	CEO
Name	:	DR. JOHN THROPAY
Credential	:	MD
Telephone Number	:	323-724-8780

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	01/29/2024

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