Organization
CARDIOLOGY MEDICAL GROUP OF SAN GABRIEL VALLEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL H MILLER MD (PRESIDENT)
(626) 915-7300
Entity
Organization
Contact information
Practice address
625 E BADILLO ST, COVINA, CA 91723-2800
(626) 915-7300
(626) 967-8896
Mailing address
625 E BADILLO ST, COVINA, CA 91723-2800
(626) 915-7300
(626) 967-8896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP5243
RR PTAN
CA
Enumeration date
12/09/2005
Last updated
07/13/2010
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