Bethel O & a, Incorporated

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

BETHEL O & A, INCORPORATED

Doing business as

Divine Recovery Program

Practice address

285 S Gilbert St
Fullerton, CA 92833-2908

Phone

(714) 225-4762

Fax

(714) 930-9435

NPI assigned

Jun 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Femi Abatan

Title

Vice-President

Phone

(714) 225-4762

Specialties & licenses 2

Addresses

Other names 1

• Divine Recovery Program Doing business as

Locations

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1790071454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 S GILBERT ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332908",
            "telephone_number": "714-225-4762",
            "fax_number": "714-930-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 S GILBERT ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332908",
            "telephone_number": "714-225-4762",
            "fax_number": "714-930-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL O & A, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "ABATAN",
        "authorized_official_first_name": "FEMI",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "714-225-4762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Recovery Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maiya Corrine Bertrand, LCSW
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• Bethel Family Medical Group Inc
• Bethel Seok Won Jang, DDS, Inc. (Bethel Dentistry)
• Better Days Mental Health LLC
• Carla D Betters, NP
• Ericka P Bettge, M.A.
• Millea Jewel Betts

• Health Maintenance Organization in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.