Healthcare Provider Details

I. General information

NPI: 1972524072
Provider Name (Legal Business Name): BETHESDA HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 11/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SAN GABRIEL BLVD SUITE A
ROSEMEAD CA
91770-2583
US

IV. Provider business mailing address

3333 SAN GABRIEL BLVD SUITE A
ROSEMEAD CA
91770-2583
US

V. Phone/Fax

Practice location:
  • Phone: 626-307-2818
  • Fax: 626-307-2810
Mailing address:
  • Phone: 626-307-2818
  • Fax: 626-307-2810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 26965
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 7639
License Number StateCA

VIII. Authorized Official

Name: DR. ALLAN C KE
Title or Position: C.E.O.
Credential: D. C.
Phone: 626-307-2818