Organization
ROSEMEAD HEALTH CENTER MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARS HANSON MD (CEO)
(626) 375-1505
Entity
Organization
Contact information
Practice address
8811 GARVEY AVE STE 101, ROSEMEAD, CA 91770-2461
(626) 375-1505
(626) 795-0779
Mailing address
8811 GARVEY AVE STE 101, ROSEMEAD, CA 91770-2461
(626) 375-1505
(626) 795-0779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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