| San Gabriel Valley Health Inc. | |
|
9646 Garvey Ave Ste 101 South El Monte CA 91733-4600 | |
| (626) 450-0777 | |
| Not Available |
| Full Name | San Gabriel Valley Health Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 9646 Garvey Ave Ste 101, South El Monte, California |
| Authorized Official Name and Position | Anh Tuan Ngo (PRESIDENT) |
| Authorized Official Contact | 5102994871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Gabriel Valley Health Inc. 8965 Camino Real San Gabriel CA 91775-1931 Ph: (510) 299-4871 | San Gabriel Valley Health Inc. 9646 Garvey Ave Ste 101 South El Monte CA 91733-4600 Ph: (626) 450-0777 |
| NPI Number | 1740862705 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 02/25/2022 |
| Medicare PECOS PAC ID | 0749674729 |
|---|---|
| Medicare Enrollment ID | O20220309000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740862705 | NPI | - | NPPES |
| 100174945 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anh Tuan Huu Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194266460 PECOS PAC ID: 6002247871 Enrollment ID: I20200511002490 |
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