Elite Diagnostic And Medical Group
Family Medicine in Monterey Park, CA. Organization (NPI-2).
NPI number1285667063
StatusActive
Last updated in NPPESAug 24, 2010
Details
- NPI
- 1285667063
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Diagnostic And Medical Group
- Organization subpart
- No
- Enumeration date
- Jul 8, 2006
- Last updated
- Aug 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
885 S Atlantic BlvdMonterey Park, CA 91754-4733
Phone 626-281-9111
Mailing address
885 S Atlantic BlvdMonterey Park, CA 91754-4733
Phone 626-281-9111
Authorized official
William Lee
President
6262819111
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