Organization
SAN GABRIEL VALLEY MEDICAL CENTER
Active
Other names
SAN GABRIEL VALLEY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSHANG ABD (CFO)
(626) 570-0612
Entity
Organization
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 570-6640
(626) 457-7153
Mailing address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 570-6640
(626) 457-7153
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY48932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094550
PK
—
Enumeration date
06/11/2006
Last updated
06/23/2013
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