institution
San Gabriel Vip A California Limited Partnership
Diagnostic Radiology Physician in West Covina, California
NPI 1144262817

San Gabriel Vip A California Limited Partnership is a Diagnostic Radiology Physician based in West Covina, CA and is specialized in Diagnostic Radiology. San Gabriel Vip A California Limited Partnership practices in West Covina, CA. The NPI Number for San Gabriel Vip A California Limited Partnership is 1144262817 and holds a License No. (California).

The current practice location address for San Gabriel Vip A California Limited Partnership is 1115 S Sunset Ave, West Covina, CA and can be reached out via phone at 626-813-9988 and via fax at 626-813-0075.

Location: 1115 S Sunset Ave, West Covina, CA, 91793-0635
institution
Provider Profile Details
NPI Number
1144262817
Provider Name
San Gabriel Vip A California Limited Partnership
Credential
Provider Entity Type
Organization
Address
1115 S Sunset Ave, West Covina, CA, 91793-0635
Phone Number
626-813-9988
Fax Number
626-813-0075
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCBS 01 CA ZZZ25286Z
GR0058270 05 CA
CQ2233 01 CA MEDICARE RR
institution
Provider Business Practice Location Address Details
Address
1115 S Sunset Ave
City
State
Zip
91790-3940
Phone Number
626-813-9988
Fax Number
626-813-0075
person
Provider Business Mailing Address Details
Address
1115 S Sunset Ave
City
State
Zip
91790-3940
Phone Number
626-813-9988
Fax Number
626-813-0075
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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