NPI 1437163904
Daniel Miguel Bethencourt, MD
Practice location
- Address
- 2865 Atlantic Ave Suite 205, Long Beach, CA 90806-1740
- Phone
- (562) 988-9333
- Fax
- (562) 424-1228
- Mailing address
- 17360 Brookhurst St Attn: McMf- Credentialing Department, Fountain Valley, CA 92708-3720
Registered specialties
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Registry record
- NPI
- 1437163904
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jul 2006
- Record last updated
- 23 Aug 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.