Montebello Quality Care Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MONTEBELLO QUALITY CARE CLINIC

Practice address

2011 W Whittier Blvd
Montebello, CA 90640-4010

Phone

(323) 724-7824

Fax

(323) 724-7234

NPI assigned

Mar 2, 2015

Last updated

Mar 2, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shushan Yegoyan

Title

Ceo

Phone

(323) 724-7824

Specialties & licenses 1

Addresses

Tax ID family

Montebello Quality Care Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Montebello Quality Care Clinic

  • General Practice Physician
  • Montebello, CA
  • NPI 1548652266
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1245622133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404010",
            "telephone_number": "323-724-7824",
            "fax_number": "323-724-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404010",
            "telephone_number": "323-724-7824",
            "fax_number": "323-724-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEBELLO QUALITY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "YEGOYAN",
        "authorized_official_first_name": "SHUSHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-724-7824"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montebello Newlife Acupuncture Inc.
• Montebello Open MRI LLC
• Montebello Pharmacy,Inc
• Montebello Physical Therapy Center (Montebello Therapy Center)
• Montebello Physicians Quality Care
• Montebello Quality Care Clinic
• Montebello Recovery Center
• Montebello Surgery Center
• Montebello Surgery Center
• Montebello Unified School District

• Family Medicine Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.