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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