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)
(562) 863-1212
Entity
Organization
Contact information
Practice address
13939 SAN ANTONIO DRIVE, NORWALK, CA 90650-4036
(562) 863-1212
(562) 864-1212
Mailing address
13939 SAN ANTONIO DRIVE, NORWALK, CA 90650-4036
(562) 863-1212
(562) 864-1212
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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