Ros Medical Group INC
Family Medicine in San Gabriel, CA. Organization (NPI-2).
NPI number1417463563
StatusActive
Last updated in NPPESDec 26, 2017
Details
- NPI
- 1417463563
- Entity type
- Organization (NPI-2)
- Legal business name
- Ros Medical Group INC
- Organization subpart
- Yes
- Enumeration date
- Dec 26, 2017
- Last updated
- Dec 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Ros Medical Group - San Gabriel (Other Name)
Practice location
1730 S San Gabriel Blvd Ste BSan Gabriel, CA 91776-3928
Phone 626-573-1252
Mailing address
409 W Main StAlhambra, CA 91801-3433
Phone 626-382-1263 · Fax 626-382-1252
Authorized official
Singh Ahn Boun
Ceo
6263821263
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