Organization
WELL CARE MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization
WELL CARE MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONG YANG M.D. (OWNER)
(626) 318-5585
Entity
Organization
Contact information
Practice address
311 E VALLEY BLVD STE 111-112, SAN GABRIEL, CA 91776-3554
(626) 318-5585
Mailing address
311 E VALLEY BLVD STE 111-112, SAN GABRIEL, CA 91776-3554
(626) 318-5585
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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