# EL MONTE FAMILY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073680757
- **Authorized official:** WAEL DAGHER MD (PRESIDENT PHYSICIAN)
- **Authorized official phone:** (626) 442-7077

## Contact information

- **Practice address:** 11227 VALLEY BLVD, EL MONTE, CA 91731
- **Practice address phone:** (626) 442-7077
- **Practice address fax:** (626) 442-2640
- **Mailing address:** 11227 VALLEY BLVD, EL MONTE, CA 91731
- **Mailing address phone:** (626) 442-7077
- **Mailing address fax:** (626) 442-2640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 01/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1073680757 | — | CA |