Organization
CVS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE O ESPINOSA (OFFICE MANAGER)
(626) 425-3946
Entity
Organization
Contact information
Practice address
1417 W BEVERLY BLVD STE 106, MONTEBELLO, CA 90640-4125
(626) 657-8002
(323) 900-0567
Mailing address
201 W GARVEY AVE STE 102-502, MONTEREY PARK, CA 91754-7418
(626) 425-3946
(323) 900-0567
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/15/2024
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