Organization · NPI-2
Abc Medical Clinic, INC.
Dermatology · Monterey Park, CA
NPI number1013934082
StatusActive
Last updated in NPPESDec 1, 2014
Details
- NPI
- 1013934082
- Entity type
- Organization (NPI-2)
- Legal business name
- Abc Medical Clinic, INC.
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Last updated
- Dec 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | A63361 | CA | Yes |
Practice location
500 N Garfield AveSuite 110a
Monterey Park, CA 91754-1242
Phone 626-282-4840 · Fax 626-288-4820
Mailing address
500 N Garfield AveSuite 110a
Monterey Park, CA 91754-1242
Phone 626-282-4840 · Fax 626-288-4820
Authorized official
Jian N. Ye
Owner
6262884840
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