Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Pediatric Medical Group, Inc

Organization Pediatrics Physician · NPI 1508963653

Beverly Pediatric Medical Group, Inc is a Pediatrics Physician in Montebello, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1417 W Beverly Blvd Ste 102
Montebello, CA 90640-4123
Phone: (323) 728-3270
Fax: (323) 728-2141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G42466 (CA)

Record details

NPI number1508963653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hector De La Rocha — President/Owner · (323) 728-3270
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 14, 2013
Mailing address1417 W Beverly Blvd, Suite 102, Montebello, CA 90640-4146

Other providers in Montebello