| Av Physician's Group, Inc | |
|
3580 Santa Anita Ave Ste B El Monte CA 91731-2455 | |
| (415) 216-6415 | |
| Not Available |
| Full Name | Av Physician's Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3580 Santa Anita Ave Ste B, El Monte, California |
| Authorized Official Name and Position | Vishal Govil (CEO) |
| Authorized Official Contact | 4152166415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Av Physician's Group, Inc 3580 Santa Anita Ave Ste B El Monte CA 91731-2455 Ph: (415) 216-6415 | Av Physician's Group, Inc 3580 Santa Anita Ave Ste B El Monte CA 91731-2455 Ph: (415) 216-6415 |
| NPI Number | 1366039612 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Medicare PECOS PAC ID | 2860800240 |
|---|---|
| Medicare Enrollment ID | O20210423001395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366039612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Desirae A Mutuc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215393384 PECOS PAC ID: 2264721695 Enrollment ID: I20160525000435 |
| Provider Name | Vishal Govil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851751853 PECOS PAC ID: 7315293206 Enrollment ID: I20180706002611 |
| Provider Name | Angeline Arrieta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750062147 PECOS PAC ID: 2264894583 Enrollment ID: I20230817001465 |
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