San Gabriel Health Clinic

LBN: San Gabriel Health Clinic
San Gabriel Health Clinic is an health care organization with primary practice located at 2630 San Gabriel Blvd Suite 105, Rosemead CA 91770-5204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. San Gabriel Health Clinic can be contacted via phone (626) 288-2007, or through Huynh, Bo Tan via phone (626) 288-2007.

Contact Information

Primary practice address
2630 San Gabriel Blvd Suite 105 Rosemead CA 91770-5204
Phone: (626) 288-2007
Fax: (626) 288-2116
Website:
Map and Directions
Authorized official contact:
Name: Huynh, Bo Tan Doctor of Medicine (MD)
Phone: (626) 288-2007

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X FNP34454 California

Profile Details

NPI number 1073534608
LBN Legal business name San Gabriel Health Clinic
DBA Doing business as
Authorized official Huynh, Bo Tan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Aug 22nd, 2020 - about 6 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 1073534608 NPPES
California Other FNP34454 FICTITIOUS BUSINESS #
California MEDICAID GR0102390 FICTITIOUS BUSINESS #

Popular Providers