Organization
G.E. PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN PASCUAL (ADMINISTRATOR)
(626) 964-7174
Entity
Organization
Contact information
Practice address
626 BOYER LN, LA PUENTE, CA 91744-6131
(626) 964-7174
Mailing address
626 BOYER LN, LA PUENTE, CA 91744-6131
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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