Organization
COUNTY OF LOS ANGELES
Active
Parent organization
COUNTY OF LOS ANGELES
Other names
East San Gabriel Valley Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF LOS ANGELES
Authorized official
DR. MICHAEL OWENS (DIRECTOR, EDIM)
(213) 288-8695
Entity
Organization
Contact information
Practice address
1359 N GRAND AVE, COVINA, CA 91724-1016
(626) 430-2900
Mailing address
5555 FERGUSON DR STE 310-15, COMMERCE, CA 90022-5164
(323) 914-7773
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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