Organization
SOUTHLAND SAN GABRIEL VALLEY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T.H. NGUYEN D.O. (PRESIDENT)
(626) 782-6202
Entity
Organization
Contact information
Practice address
820 S GARFIELD AVE, SUITE 201 A, ALHAMBRA, CA 91801-5838
(626) 782-6202
(626) 249-5399
Mailing address
820 S GARFIELD AVE, SUITE 201 A, ALHAMBRA, CA 91801-5838
(626) 782-6202
(626) 249-5399
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/27/2008
Last updated
06/23/2014
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