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San Gabriel Vip, A California Limited Partnership
Diagnostic Radiology Physician in West Covina, California
NPI 1619908480

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 1619908480 and holds a License No. (California).

The current practice location address for San Gabriel Vip, A California Limited Partnership is 1401 W Merced Ave, West Covina, CA and can be reached out via phone at 626-813-9988 and via fax at 626-813-0075.

Location: 1401 W Merced Ave, West Covina, CA, 91793-0635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619908480
Provider Name
San Gabriel Vip, A California Limited Partnership
Credential
Provider Entity Type
Organization
Address
1401 W Merced Ave, West Covina, CA, 91793-0635
Phone Number
626-813-9988
Fax Number
626-813-0075
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0058272 05 CA
institution
Provider Business Practice Location Address Details
Address
1401 W Merced Ave
City
West Covina
State
California
Zip
91790-3401
Phone Number
626-813-9988
Fax Number
626-813-0075
person
Provider Business Mailing Address Details
Address
1401 W Merced Ave
City
West Covina
State
California
Zip
91790-3401
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
2085R0202X
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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