Organization
ECLAT MEDICAL, INC
Active
Other names
Huntington Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUNPEI IWATA MD (MEDICAL DIRECTOR)
(626) 535-0900
Entity
Organization
Contact information
Practice address
800 FAIRMOUNT AVE STE 410, PASADENA, CA 91105-3154
(626) 535-0900
(626) 389-5479
Mailing address
2275 HUNTINGTON DR, #861, SAN MARINO, CA 91108-2640
(626) 535-0900
(626) 389-5479
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A95845
CA
Other
Enumeration date
04/22/2009
Last updated
08/27/2021
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