Organization
PHYSICIAN ASSOCIATES OF THE GREATER SAN GABIEL VALLEY, A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARTON WALD MD (CEO)
(626) 817-8313
Entity
Organization
Contact information
Practice address
199 S LOS ROBLES AVE, SUITE 300, PASADENA, CA 91101-2452
(626) 817-8300
Mailing address
199 S LOS ROBLES AVE, SUITE 300, PASADENA, CA 91101-2452
(626) 817-8300
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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