Los Angeles County - La Puente Mtu

NPI 1235284811 - Clinic/Center - 261QR0400X

NPI Details
NPI 1235284811
Enumeration Date 01/24/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SHAVONDA SHAVONDA
Position ACTING DIRECTOR, CMS
Phone (626) 933-3234
Fax
Practice Location
800 TONOPAH AVE
LA PUENTE CA, 91744-2460, US
Phone (626) 933-3234
Fax
Business Location
9320 TELSTAR AVE STE 226
EL MONTE CA, 91731-2849, US
Phone
Fax
Toxanomy
Taxonomy Code 261QR0400X
License State
License Number
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According to our database, Los Angeles County - La Puente Mtu NPI is 1235284811, taxonomy code is 261QR0400X Los Angeles County - La Puente Mtu physically located at 800 Tonopah Ave, La Puente CA, 91744-2460. NPI Number 1033115704 has the healthcare provider type.

1235284811 NPI number is provided on an as is basis without warranty of any kind. 1235284811 is maintained by the National Plan & Provider Enumeration System. The contents of Los Angeles County - La Puente Mtu are for informational purposes only.