| Pacific Royal Medical Center Inc. | |
|
316 E Las Tunas Dr Ste 102 316 E. Las Tunas Drive, Suite 102 San Gabriel CA 91776-1535 | |
| (626) 300-8880 | |
| (626) 300-8811 |
| Full Name | Pacific Royal Medical Center Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 316 E Las Tunas Dr Ste 102, San Gabriel, California |
| Authorized Official Name and Position | Zhi Zeng (PRESIDENT/CEO) |
| Authorized Official Contact | 6263008880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Royal Medical Center Inc. 316 E Las Tunas Dr Ste 102 316 E Las Tunas Dr Ste 102 San Gabriel CA 91776-1535 Ph: (626) 300-8880 | Pacific Royal Medical Center Inc. 316 E Las Tunas Dr Ste 102 316 E. Las Tunas Drive, Suite 102 San Gabriel CA 91776-1535 Ph: (626) 300-8880 |
| NPI Number | 1285826669 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285826669 | NPI | - | NPPES |
| 00A701190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A70119 (California) | Primary |
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