# GOLDEN EAGLE MEDICAL NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLINICA MEDICA SAN PEDRO NETWORK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457617938
- **Authorized official:** MR. JACINTO LAM MD (PRESIDENT)
- **Authorized official phone:** (626) 579-0999

## Contact information

- **Practice address:** 11725 E. GARVEY AVE, STE 5B, EL MONTE, CA 91732-0000
- **Practice address phone:** (626) 579-0999
- **Practice address fax:** (626) 579-2999
- **Mailing address:** 11725 E. GARVEY AVE, STE 5B, EL MONTE, CA 91732-0000
- **Mailing address phone:** (626) 579-0999
- **Mailing address fax:** (626) 579-2999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A 39722 | CA | Yes |

## Other

- **Enumeration date:** 04/09/2012
- **Last updated:** 04/09/2012