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Organization
GOODFAITH FAMILY MEDICAL CLINIC
Active
Organization
GOODFAITH FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAN LIN WONG MD (VICE PRESIDENT)
(626) 307-4785
Entity
Organization
Contact information
Practice address
7540 GARVEY AVE STE C, ROSEMEAD, CA 91770-2960
(626) 307-4785
Mailing address
7540 GARVEY AVE STE C, ROSEMEAD, CA 91770-2960
(626) 307-4785
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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