Organization
ALHAMBRA FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE WONG M.D. (PRESIDENT)
(626) 281-2232
Entity
Organization
Contact information
Practice address
1336 W. VALLEY BLVD, #A, ALHAMBRA, CA 91803-3257
(626) 281-2232
(626) 281-7214
Mailing address
1336 W. VALLEY BLVD, #A, ALHAMBRA, CA 91803-3257
(626) 281-2232
(626) 281-7214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A848670
—
CA
05
—
00AX67580
—
CA
01
—
05D0565444
CLIA
CA
05
—
GR0093620
—
CA
Enumeration date
07/09/2006
Last updated
03/20/2014
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