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Organization
GERICARE MEDICAL GROUP
Active
Organization
GERICARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR LE MD (PRESIDENT)
(213) 986-7998
Entity
Organization
Contact information
Practice address
1001 S GARFIELD AVE, ALHAMBRA, CA 91801-4772
(213) 986-7998
Mailing address
1001 S GARFIELD AVE, ALHAMBRA, CA 91801-4772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A111657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A111657
MEDICAL LICENSE
CA
Enumeration date
10/02/2012
Last updated
05/01/2014
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