Organization
GOLDEN EAGLE MEDICAL NETWORK
Active
Other names
CLINICA MEDICA SAN PEDRO NETWORK
Organization subpart
No
Provider details
NPI number
Authorized official
JACINTO LAM MD (PRESIDENT)
(626) 960-6666
Entity
Organization
Contact information
Practice address
1025 N WILLOW AVE, LA PUENTE, CA 91746-1617
(626) 960-6666
(626) 960-5666
Mailing address
1025 N WILLOW AVE, LA PUENTE, CA 91746-1617
(626) 960-6666
(626) 960-5666
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A 39722
CA
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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