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Organization
GOLDEN EAGLE MEDICAL NETWORK
Active
Organization
GOLDEN EAGLE MEDICAL NETWORK
Active
Other names
CLINICA MEDICA SAN PEDRO NETWORK
Organization subpart
No
Provider details
NPI number
Authorized official
JACINTO LAM MD (PRESIDENT)
(562) 863-1212
Entity
Organization
Contact information
Practice address
13939 SAN ANTONIO DRIVE, NORWALK, CA 90650-4036
(562) 863-1212
(562) 864-1212
Mailing address
13939 SAN ANTONIO DRIVE, NORWALK, CA 90650-4036
(562) 863-1212
(562) 864-1212
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A 39722
CA
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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