1. Home
  2. Directory
  3. California
  4. Fullerton
  5. Family Medicine
  6. NPI Profile

BETHEL FAMILY MEDICAL GROUP INC
NPI 1467848747
Family Medicine in Fullerton, CA

Active since April 13, 2015CLIA 05D2089418 · Waiver
720 N HARBOR BLVD, B, FULLERTON, CA 92832(714) 782-7700(714) 982-3979 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethel Family Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHEL FAMILY MEDICAL GROUP INC (NPI 1467848747) is a healthcare organization registered as a family medicine in Fullerton, California and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Wonbae Choe, President, as its authorized official.

NPPES Registry Identity

NPI1467848747
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBETHEL FAMILY MEDICAL GROUP INC
Location Address720 N HARBOR BLVD, BFullerton, CA 92832-1505
Mailing Address720 N Harbor Blvd, BFullerton, CA 92832-1505 · (714) 782-7700 · Fax (714) 982-3979
Phone(714) 782-7700
Fax(714) 982-3979
Organization SubpartNo
Authorized OfficialWonbae ChoePresident · (714) 782-7700
Enumeration DateApril 13, 2015
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1467848747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
720 N HARBOR BLVD, Fullerton, CA 92832
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2089418

Bethel Family Medical Group · Fullerton, CA
Active · expires Dec 29, 2026
CLIA Number05D2089418
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorWonbae Choe, MD
Laboratory Phone(714) 878-8817
Laboratory LocationBethel Family Medical Group720 N Harbor Blvd Ste B, Fullerton, CA 92832
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WONBAE CHOE M.D.
Family Medicine
720 N HARBOR BLVD
FULLERTON, CA 92832
Orange County (714) 782-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethel Family Medical Group Inc's NPI number?

The NPI number for Bethel Family Medical Group Inc is 1467848747. It was assigned to this organization in the NPPES registry on April 13, 2015.

Where is Bethel Family Medical Group Inc located?

Bethel Family Medical Group Inc is located at 720 N Harbor Blvd B, Fullerton, CA 92832. The listed phone number is (714) 782-7700.

What is Bethel Family Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bethel Family Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2089418) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bethel Family Medical Group Inc was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.