# EXECUTIVE MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EXECUTIVE MEDICINE, INC.
- **Other names:** Monrovia Internal Medicine and Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033965413
- **Legal business name:** EXECUTIVE MEDICINE, INC.
- **Authorized official:** ULIN SARGEANT MD (PRESIDENT)
- **Authorized official phone:** (877) 254-4496

## Contact information

- **Practice address:** 1227 BUENA VISTA ST STE F, DUARTE, CA 91010-2486
- **Practice address phone:** (877) 254-4496
- **Practice address fax:** (877) 254-4496
- **Mailing address:** PO BOX 2063, MONROVIA, CA 91017-6063
- **Mailing address phone:** (877) 254-4496
- **Mailing address fax:** (877) 254-4496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2024
- **Last updated:** 04/26/2024