Organization
POTENTIAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SUN M.D (CHIEF EXECUTIVE OFFICER)
(626) 280-9995
Entity
Organization
Contact information
Practice address
616 N GARFIELD AVE, 203, MONTEREY PARK, CA 91754-1141
(626) 280-9995
Mailing address
616 N GARFIELD AVE, 203, MONTEREY PARK, CA 91754-1141
(626) 280-9995
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
G072009
CA
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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