# ROSEMEAD HEALTH CENTER MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1699275115
- **Authorized official:** DR. LARS HANSON MD (CEO)
- **Authorized official phone:** (626) 375-1505

## Contact information

- **Practice address:** 8811 GARVEY AVE STE 101, ROSEMEAD, CA 91770-2461
- **Practice address phone:** (626) 375-1505
- **Practice address fax:** (626) 795-0779
- **Mailing address:** 8811 GARVEY AVE STE 101, ROSEMEAD, CA 91770-2461
- **Mailing address phone:** (626) 375-1505
- **Mailing address fax:** (626) 795-0779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2018
- **Last updated:** 02/21/2018