Organization
SAN GABRIEL RADIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN PATRICK WHALEN M.D. (CEO, PRESIDENT, DIRECTOR)
(626) 572-0914
Entity
Organization
Contact information
Practice address
555 N GARFIELD AVE, MONTEREY PARK, CA 91754-1202
(626) 572-0914
(626) 572-0914
Mailing address
555 N GARFIELD AVE, MONTEREY PARK, CA 91754-1202
(626) 572-0914
(626) 572-0914
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C33476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W22403
MEDICARE PTAN
CA
Enumeration date
12/20/2007
Last updated
03/01/2012
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