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1326622143
BEVERLY MEDICAL GROUP
LOS ANGELES, CA
NPI
1326622143
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Entity Type
Organization
Authorized Contact
NICHOLAS N DZEBOLO
CEO
132-771-0302
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2021-05-07
Last Update Date
2021-06-23
Business Address
BEVERLY MEDICAL GROUP
2105 BEVERLY BLVD STE 233B
LOS ANGELES, CA 90057-2216
Phone number: 213-674-7859
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Mailing Address
BEVERLY MEDICAL GROUP
2105 BEVERLY BLVD STE 233B
LOS ANGELES, CA 90057-2216
Phone number: 213-674-7859
Copy
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