| Prospect Latino Medical Group, Inc. | |
|
1668 S Garfield Ave Fl 2 Alhambra CA 91801-5400 | |
| (626) 282-0288 | |
| Not Available |
| Full Name | Prospect Latino Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1668 S Garfield Ave Fl 2, Alhambra, California |
| Authorized Official Name and Position | Thomas S Lam (PRESIDENT) |
| Authorized Official Contact | 6262841997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Latino Medical Group, Inc. 1668 S Garfield Ave Fl 2 Alhambra CA 91801-5400 Ph: (626) 282-0288 | Prospect Latino Medical Group, Inc. 1668 S Garfield Ave Fl 2 Alhambra CA 91801-5400 Ph: (626) 282-0288 |
| NPI Number | 1467225821 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 08/26/2026 |
| Certification Date | 08/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467225821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
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