# LOS ANGELES COUNTY - SAN GABRIEL TU

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639367170
- **Authorized official:** SHAVONDA CHRISTMAS (ACTING DIRECTOR, CMS)
- **Authorized official phone:** (626) 569-6001

## Contact information

- **Practice address:** 600 E GRAND AVE, SAN GABRIEL, CA 91776-2817
- **Practice address phone:** (626) 614-2260
- **Mailing address:** 9320 TELSTAR AVE STE 226, EL MONTE, CA 91731-2816
- **Mailing address phone:** (800) 288-4584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 10/10/2007