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NPI Code Detail

MEDICARE: CARLOS BEHARIE MD

MEDICARE: CARLOS BEHARIE MD
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
1207V00000XObstetrics & Gynecology PhysicianG46446CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100G464460OTHERMEDI-CAL

General Provider Information

NPI Number : 1528054418
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARLOS BEHARIE MD
Provider Business Mailing Address
First Line : 1433 W MERCED AVE
Second Line : #103
City : WEST COVINA
State : CA
Zip : 91790-3402
Country : US
Telephone Number : 626-337-8000
Fax Number : 626-337-1145
Provider Business Practice Location Address
First Line : 1433 W MERCED AVE
Second Line : #103
City : WEST COVINA
State : CA
Zip : 91790-3402
Country : US
Telephone Number : 626-337-8000
Fax Number : 626-337-1145
Authorized Official
Title or Position : PRACTITIONER
Name : CARLOS BEHARIE
Credential : MD
Telephone Number : 626-337-8000
Provider Enumeration Date : 09/26/2005
Last Update Date : 11/19/2009

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Directions to “CARLOS BEHARIE MD ” Practice Location

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