Organization · Type 2 NPI

Atlas19 LLC

Clinic/Center · San Gabriel, CA

NPI number 1124612775 Active

Practice location

100 S San Gabriel Blvd
San Gabriel, CA 91776-1645

Mailing address

2275 Huntington Dr # 314
San Marino, CA 91108-2640

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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).

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About NPI 1124612775

Atlas19 LLC's National Provider Identifier is 1124612775, issued on Feb 24, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Gabriel, CA. The record was last updated on Feb 24, 2021.