Organization
G.E. PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN DEL PILAR PASCUAL RN (ADMINISTRATOR/OWNER)
(626) 964-7174
Entity
Organization
Contact information
Practice address
626 BOYER LN, LA PUENTE, CA 91744-6131
(626) 964-7174
(626) 964-1779
Mailing address
626 BOYER LN, LA PUENTE, CA 91744-6131
(626) 964-7174
(626) 964-1779
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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