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NPI Code Detail

MEDICARE: JESUS FRANCO BEDOLLA

MEDICARE:   JESUS FRANCO BEDOLLA
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1265760623
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESUS FRANCO BEDOLLA
Provider Business Mailing Address
First Line : 5923 MALABAR ST
Second Line : 13
City : HUNTINGTON PARK
State : CA
Zip : 90255-7148
Country : US
Telephone Number : 323-582-3705
Fax Number :
Provider Business Practice Location Address
First Line : 2677 ZOE AVE
Second Line : 303
City : HUNTINGTON PARK
State : CA
Zip : 90255-4195
Country : US
Telephone Number : 323-312-0640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2009
Last Update Date : 11/24/2009

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Directions to “ JESUS FRANCO BEDOLLA ” Practice Location

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