Provider Demographics
NPI:1609061811
Name:BETTER CARE MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:BETTER CARE MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-281-1961
Mailing Address - Street 1:1153 S GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4714
Mailing Address - Country:US
Mailing Address - Phone:626-281-1961
Mailing Address - Fax:626-281-6564
Practice Address - Street 1:1153 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4714
Practice Address - Country:US
Practice Address - Phone:626-281-1961
Practice Address - Fax:626-281-6564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207Q00000X
207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A383980OtherMEDI-CAL
CA00A383980Medicaid
CA00A383980Medicaid
CAA85125Medicare UPIN
CA00A383980OtherMEDI-CAL