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Organization
VALLEY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization
VALLEY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASERT BASIL VASSANTACHART MD (OWNER)
(626) 282-3113
Entity
Organization
Contact information
Practice address
841 W VALLEY BLVD, SUITE 104, ALHAMBRA, CA 91803-3251
(626) 282-3113
(626) 289-9179
Mailing address
841 W VALLEY BLVD, SUITE 104, ALHAMBRA, CA 91803-3251
(626) 282-3113
(626) 289-9179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GH4008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0016470
—
CA
Enumeration date
09/16/2005
Last updated
09/01/2011
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