| Green Cross Medical Surgical Inc | |
|
9310 E. Valley Blvd Suite A Rosemead CA 91770-1924 | |
| (626) 288-8671 | |
| (626) 288-6648 |
| Full Name | Green Cross Medical Surgical Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9310 E. Valley Blvd Suite A, Rosemead, California |
| Authorized Official Name and Position | Philip H Lee (CHAIRMAN) |
| Authorized Official Contact | 6262888671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Cross Medical Surgical Inc 9310 E. Valley Blvd Suite A Rosemead CA 91770-1924 Ph: (626) 288-8671 | Green Cross Medical Surgical Inc 9310 E. Valley Blvd Suite A Rosemead CA 91770-1924 Ph: (626) 288-8671 |
| NPI Number | 1700150802 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 03/07/2012 |
| Medicare PECOS PAC ID | 5496917650 |
|---|---|
| Medicare Enrollment ID | O20120504000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700150802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A3502 (California) | Primary |
| Provider Name | Philip Lee |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992981161 PECOS PAC ID: 7113086760 Enrollment ID: I20081111000564 |
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