| San Gabriel Valley Neurological Medical Group | |
|
767 S Sunset Ave Suite 5 West Covina CA 91790-3546 | |
| (626) 960-4974 | |
| (626) 338-9711 |
| Full Name | San Gabriel Valley Neurological Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 767 S Sunset Ave, West Covina, California |
| Authorized Official Name and Position | Charles L Glatstein (PARTNER) |
| Authorized Official Contact | 6269604974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Gabriel Valley Neurological Medical Group 767 S Sunset Ave Suite 5 West Covina CA 91790-3546 Ph: (626) 960-4974 | San Gabriel Valley Neurological Medical Group 767 S Sunset Ave Suite 5 West Covina CA 91790-3546 Ph: (626) 960-4974 |
| NPI Number | 1134289093 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134289093 | NPI | - | NPPES |
| 00G307620 | Medicaid | CA | |
| ZZZ74485Z | Medicaid | CA | |
| 00C312740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G30762 (California) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | C31274 (California) | Secondary |
Mlsl, Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 S Sunset Ave, Suite 105, West Covina, CA 91790 Phone: 626-813-1222 Fax: 626-813-1221 | |
South Hills Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 S Inman Rd, West Covina, CA 91791 Phone: 909-536-0193 Fax: 626-653-0172 | |
John Morales Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N Bromley Ave, West Covina, CA 91790 Phone: 949-774-9829 | |
Enlightening Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 E Cameron Ave, West Covina, CA 91790 Phone: 213-309-8822 | |
Ssg Apctc West Covina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 W Cameron Ave Ste 210, West Covina, CA 91790 Phone: 626-653-9913 Fax: 626-653-9914 | |
Through The Sea Marriage And Family Counseling Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2155 E Garvey Ave N Ste B17, West Covina, CA 91791 Phone: 626-489-9144 | |
Quality Of Life Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2618 E Cortez St, West Covina, CA 91791 Phone: 626-290-2228 Fax: 626-339-8856 |