| New Valley Medical Group Inc | |
|
415 W Valley Blvd Suite C San Gabriel CA 91776-3728 | |
| (626) 943-9240 | |
| (626) 943-9242 |
| Full Name | New Valley Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 415 W Valley Blvd, San Gabriel, California |
| Authorized Official Name and Position | Tai Hing Wu (M.D.) |
| Authorized Official Contact | 6269439240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Valley Medical Group Inc 415 W Valley Blvd Suite C San Gabriel CA 91776-3728 Ph: (626) 943-9240 | New Valley Medical Group Inc 415 W Valley Blvd Suite C San Gabriel CA 91776-3728 Ph: (626) 943-9240 |
| NPI Number | 1669612297 |
|---|---|
| Provider Enumeration Date | 02/22/2009 |
| Last Update Date | 05/25/2010 |
| Medicare PECOS PAC ID | 1052469772 |
|---|---|
| Medicare Enrollment ID | O20090506000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669612297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A46692 (California) | Primary |
| Provider Name | Tai H Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417963661 PECOS PAC ID: 9739110727 Enrollment ID: I20090506000156 |
| Provider Name | Chen-chi Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841528692 PECOS PAC ID: 5698774420 Enrollment ID: I20130503000326 |
| Provider Name | Lily Luu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518396894 PECOS PAC ID: 2466673728 Enrollment ID: I20141030000408 |
| Provider Name | Edwin Yau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316291925 PECOS PAC ID: 4789806290 Enrollment ID: I20141118002335 |
| Provider Name | Luke Kwok Keung Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558374116 PECOS PAC ID: 7810993862 Enrollment ID: I20160719001777 |
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