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Daniel M.Bethencourt, M.D., INC.

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Long Beach, CA. Organization (NPI-2).

NPI number1235286014
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1235286014
Entity type
Organization (NPI-2)
Legal business name
Daniel M.Bethencourt, M.D., INC.
Organization subpart
No
Enumeration date
Jan 4, 2007
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)C41588CAYes

Practice location

2865 Atlantic Ave
Suite 205
Long Beach, CA 90806-1740

Phone 562-988-9333

Mailing address

2865 Atlantic Ave
Suite 205
Long Beach, CA 90806-1740

Phone 562-988-9333

Authorized official

Trudy Mackel
Office Administrator
5629889333

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Long Beach, CA

All 15 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Long Beach · All 16,615 providers in Long Beach

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