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San Gabriel Valley Neurological Medical Group
Neurology Physician in West Covina, California
NPI 1134289093

San Gabriel Valley Neurological Medical Group is a Neurology Physician based in West Covina, CA and is specialized in Neurology. San Gabriel Valley Neurological Medical Group practices in West Covina, CA. The NPI Number for San Gabriel Valley Neurological Medical Group is 1134289093 and holds a License No. G30762 (California).

The current practice location address for San Gabriel Valley Neurological Medical Group is 767 S Sunset Ave, West Covina, CA and can be reached out via phone at 626-960-4974 and via fax at 626-338-9711.

Location: 767 S Sunset Ave, West Covina, CA, 91790-3546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134289093
Provider Name
San Gabriel Valley Neurological Medical Group
Credential
Provider Entity Type
Organization
Address
767 S Sunset Ave, West Covina, CA, 91790-3546
Phone Number
626-960-4974
Fax Number
626-338-9711
Provider Enumeration Date
12/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G307620 05 CA
ZZZ74485Z 05 CA
00C312740 05 CA
institution
Provider Business Practice Location Address Details
Address
767 S Sunset Ave
City
West Covina
State
California
Zip
91790-3546
Phone Number
626-960-4974
Fax Number
626-338-9711
person
Provider Business Mailing Address Details
Address
767 S Sunset Ave
City
West Covina
State
California
Zip
91790-3546
Phone Number
626-960-4974
Fax Number
626-338-9711
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
G30762 (California)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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