| Elite Medical Group | |
|
20265 Valley Blvd Ste E Walnut CA 91789-2655 | |
| (909) 869-8501 | |
| (909) 869-8401 |
| Full Name | Elite Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 20265 Valley Blvd Ste E, Walnut, California |
| Authorized Official Name and Position | Kenny Lin (PRESIDENT) |
| Authorized Official Contact | 9098698501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Group 20265 Valley Blvd Ste E Walnut CA 91789-2655 Ph: (909) 869-8501 | Elite Medical Group 20265 Valley Blvd Ste E Walnut CA 91789-2655 Ph: (909) 869-8501 |
| NPI Number | 1497182596 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497182596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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