| Sgvc | |
|
11046 Valley Mall El Monte CA 91731-2617 | |
| (626) 444-9000 | |
| (626) 444-9044 |
| Full Name | Sgvc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11046 Valley Mall, El Monte, California |
| Authorized Official Name and Position | Henry John Alonzo (PROJECT DIRECTOR) |
| Authorized Official Contact | 6264449000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgvc 11046 Valley Mall El Monte CA 91731-2617 Ph: (626) 444-9000 | Sgvc 11046 Valley Mall El Monte CA 91731-2617 Ph: (626) 444-9000 |
| NPI Number | 1477982296 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477982296 | NPI | - | NPPES |
| 0298610 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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