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Organization
ROSEMEAD HEALTH CENTER MEDICAL GROUP INC
Active
Organization
ROSEMEAD HEALTH CENTER MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARS HANSON MD (CEO)
(626) 375-1505
Entity
Organization
Contact information
Practice address
8811 GARVEY AVE STE 101, ROSEMEAD, CA 91770-2461
(626) 375-1505
(626) 795-0779
Mailing address
8811 GARVEY AVE STE 101, ROSEMEAD, CA 91770-2461
(626) 375-1505
(626) 795-0779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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