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 provides Pediatrics Physician services 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 Not confirmed with CMS for 13 years — call before visiting
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