Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SAN GABRIEL HEALTH CLINIC
Active
Organization
SAN GABRIEL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BO TAN HUYNH M.D. (PRESIDENT)
(626) 288-2007
Entity
Organization
Contact information
Practice address
2630 SAN GABRIEL BLVD, SUITE 105, ROSEMEAD, CA 91770-5204
(626) 288-2007
(626) 288-2116
Mailing address
2630 SAN GABRIEL BLVD, SUITE 105, ROSEMEAD, CA 91770-5204
(626) 288-2007
(626) 288-2116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FNP34454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP34454
FICTITIOUS BUSINESS #
CA
05
—
GR0102390
—
CA
Enumeration date
07/21/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up