Los Angeles County - San Gabriel Tu

LBN: Los Angeles County - San Gabriel Tu
Los Angeles County - San Gabriel Tu is an health care organization with primary practice located at 600 E Grand Ave , San Gabriel CA 91776-2817. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Los Angeles County - San Gabriel Tu can be contacted via phone (626) 614-2260, or through Christmas, Shavonda via phone (626) 569-6001.

Contact Information

Primary practice address
600 E Grand Ave San Gabriel CA 91776-2817
Phone: (626) 614-2260
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Christmas, Shavonda
Phone: (626) 569-6001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1639367170
LBN Legal business name Los Angeles County - San Gabriel Tu
DBA Doing business as
Authorized official Christmas, Shavonda
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2007
Last updated Oct 10th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639367170 NPPES
California MEDICAID CCS00118F

Popular Providers