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General NPI Number Information
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NPI Number | 1164336632
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Entity Type | Organization
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Legal Business Name | BEVERLYCARE
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 15141 WHITTIER BLVD STE 340
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City | WHITTIER
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State | CA
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Zip | 90603-2146
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Country | US
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Telephone | 323-920-0505
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Fax | 888-871-4071
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Provider Business Mailing Address
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Address Line | 433 N 4TH ST STE 205A
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City | MONTEBELLO
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State | CA
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Zip | 90640-4306
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Country | US
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Telephone | 323-920-0505
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Fax | 888-871-4071
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ANGEL HSIAO
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Credential |
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Telephone | 323-920-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | NULL
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