| Ultimate Male | |
|
360 E Las Tunas Dr Ste 204 San Gabriel CA 91776-5514 | |
| (626) 319-5261 | |
| Not Available |
| Full Name | Ultimate Male |
|---|---|
| Speciality | General Practice |
| Location | 360 E Las Tunas Dr Ste 204, San Gabriel, California |
| Authorized Official Name and Position | Yuan Wang (MANAGER) |
| Authorized Official Contact | 6263195261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Male 360 E Las Tunas Dr Ste 204 San Gabriel CA 91776-5514 | Ultimate Male 360 E Las Tunas Dr Ste 204 San Gabriel CA 91776-5514 Ph: (626) 319-5261 |
| NPI Number | 1720878382 |
|---|---|
| Provider Enumeration Date | 05/07/2025 |
| Last Update Date | 05/08/2025 |
| Certification Date | 05/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720878382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | () | Secondary |
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