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Organization

GOODFAITH FAMILY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMY WU M.D. (PRESIDENT)
(626) 307-4785
Entity
Organization

Contact information

Practice address
7770 GARVEY AVE, ROSEMEAD, CA 91770-3061
(626) 307-4785
(626) 307-1019
Mailing address
7770 GARVEY AVE, ROSEMEAD, CA 91770-3061
(626) 307-4785
(626) 307-1019

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A49571
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0083450
CA
Enumeration date
07/23/2006
Last updated
11/19/2015
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