| NPI | 1841836301 |
|---|---|
| Other Name | BEVERLYCARE PEDIATRICS |
| Other Name | BEVERLY CARE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CORALI NAKAMATSU Executive Director 323-725-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-04-27 |