| Ahmc San Gabriel Valley Medical | |
|
438 W Las Tunas Dr San Gabriel CA 91776-1216 | |
| (626) 289-5454 | |
| (626) 257-6555 |
| Full Name | Ahmc San Gabriel Valley Medical |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 438 W Las Tunas Dr, San Gabriel, California |
| Authorized Official Name and Position | Linda Marsh (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 6264577938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmc San Gabriel Valley Medical 55 S Raymond Ave Ste 105 Alhambra CA 91801-7101 Ph: (626) 457-7938 | Ahmc San Gabriel Valley Medical 438 W Las Tunas Dr San Gabriel CA 91776-1216 Ph: (626) 289-5454 |
| NPI Number | 1487939724 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 03/12/2014 |
| Medicare PECOS PAC ID | 5193819837 |
|---|---|
| Medicare Enrollment ID | O20080612000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487939724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 930000041 (California) | Primary |
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