MEDICARE: CENTER FOR BETTER HEALTH, A MEDICAL GROUP, INC.

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	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1952617938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR BETTER HEALTH, A MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	2980 N BEVERLY GLEN CIR
Second Line	:	SUITE 100
City	:	LOS ANGELES
State	:	CA
Zip	:	90077-1726
Country	:	US
Telephone Number	:	310-474-9809
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 NUTMEG PL STE 110
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-2557
Country	:	US
Telephone Number	:	714-751-8110
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MAX MATOS
Credential	:	M.D.
Telephone Number	:	714-751-8110

Provider Enumeration Date	:	08/27/2010
Last Update Date	:	10/19/2015

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