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Evergreen Medical Group
Primary Care Clinic/Center in Hacienda Heights, California
NPI 1760665772

Evergreen Medical Group is a Primary Care Clinic/Center based in Hacienda Heights, CA and is specialized in Primary Care. Evergreen Medical Group practices in Hacienda Heights, CA. The NPI Number for Evergreen Medical Group is 1760665772 and holds a License No. A39498 (California).

The current practice location address for Evergreen Medical Group is 1850 S Azusa Ave, Hacienda Heights, CA and can be reached out via phone at 626-965-8202 and via fax at 626-964-9893.

Location: 1850 S Azusa Ave, Hacienda Heights, CA, 91745-6813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760665772
Provider Name
Evergreen Medical Group
Credential
Provider Entity Type
Organization
Address
1850 S Azusa Ave, Hacienda Heights, CA, 91745-6813
Phone Number
626-965-8202
Fax Number
626-964-9893
Provider Enumeration Date
12/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0054080 05 CA
institution
Provider Business Practice Location Address Details
Address
1850 S Azusa Ave
City
Hacienda Heights
State
California
Zip
91745-6813
Phone Number
626-965-8202
Fax Number
626-964-9893
person
Provider Business Mailing Address Details
Address
1850 S Azusa Ave
City
Hacienda Heights
State
California
Zip
91745-6813
Phone Number
626-965-8202
Fax Number
626-964-9893
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A39498 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
A39498 (California)
Definition
Definition to come...
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