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Organization

G.E. PEDIATRIC CARE

Active
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Organization

G.E. PEDIATRIC CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVELYN PASCUAL (ADMINISTRATOR)
(626) 964-7174
Entity
Organization

Contact information

Practice address
626 BOYER LN, LA PUENTE, CA 91744-6131
(626) 964-7174
Mailing address
626 BOYER LN, LA PUENTE, CA 91744-6131

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—

Other

Enumeration date
01/04/2008
Last updated
01/04/2008
About Stedi
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  • EDI platform