| San Gabriel Health Clinic | |
|
2630 San Gabriel Blvd Suite 105 Rosemead CA 91770-5204 | |
| (626) 288-2007 | |
| (626) 288-2116 |
| Full Name | San Gabriel Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2630 San Gabriel Blvd, Rosemead, California |
| Authorized Official Name and Position | Bo Tan Huynh (PRESIDENT) |
| Authorized Official Contact | 6262882007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Gabriel Health Clinic 2630 San Gabriel Blvd Suite 105 Rosemead CA 91770-5204 Ph: (626) 288-2007 | San Gabriel Health Clinic 2630 San Gabriel Blvd Suite 105 Rosemead CA 91770-5204 Ph: (626) 288-2007 |
| NPI Number | 1073534608 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890701270 |
|---|---|
| Medicare Enrollment ID | O20060222000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073534608 | NPI | - | NPPES |
| FNP34454 | Other | CA | FICTITIOUS BUSINESS # |
| GR0102390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | FNP34454 (California) | Primary |
| Provider Name | Bo Tan Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891718318 PECOS PAC ID: 3678526217 Enrollment ID: I20050223000879 |
| Provider Name | Christine H Dinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770506206 PECOS PAC ID: 8820004195 Enrollment ID: I20060223000221 |
Elim Health Center,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8526 Garvey Ave, Rosemead, CA 91770 Phone: 626-307-9400 Fax: 626-307-9445 | |
Christopher Michael Wong, Md,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8622 Garvey Avenue, # 103, Rosemead, CA 91770 Phone: 626-280-6898 Fax: 626-280-6899 | |
Duc Van Nguyen M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8748 Valley Blvd, Suite H, Rosemead, CA 91770 Phone: 626-288-3306 Fax: 626-288-9444 | |
Biorestore Wound Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2421 San Gabriel Blvd, Rosemead, CA 91770 Phone: 626-741-5411 Fax: 626-741-5412 | |
Harold Hsu Md. Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8622 Garvey Ave, Suite 103, Rosemead, CA 91770 Phone: 626-280-6898 Fax: 626-280-6899 | |
Kyaw Htaik Md Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2421 San Gabriel Blvd, Rosemead, CA 91770 Phone: 626-741-5411 Fax: 626-741-5412 |