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Organization
SAN GABRIEL VALLEY MEDICAL CENTER
Active
Organization
SAN GABRIEL VALLEY MEDICAL CENTER
Active
Other names
SAN GABRIEL VALLEY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSHANG ABD (CFO)
(626) 570-0612
Entity
Organization
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 570-6640
(626) 457-7153
Mailing address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 570-6640
(626) 457-7153
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHY48932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094550
PK
—
Enumeration date
06/11/2006
Last updated
06/23/2013
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