Organization · NPI-2

Bethesda Medical Group INC

Internal Medicine · Garden Grove, CA

NPI number1649937343
StatusActive
Last updated in NPPESNov 17, 2021

Details

NPI
1649937343
Entity type
Organization (NPI-2)
Legal business name
Bethesda Medical Group INC
Organization subpart
No
Enumeration date
Nov 17, 2021
Certification date
Nov 17, 2021
Last updated
Nov 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

12665 Garden Grove Blvd Ste 503
Garden Grove, CA 92843-1919

Phone 714-530-3740

Mailing address

12665 Garden Grove Blvd Ste 503
Garden Grove, CA 92843-1919

Phone 714-530-3740

Authorized official

Hong S Kim
Presidnet /MD
7145303740

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