Organization · Type 2 NPI
Maternal Fetal Medicine Medical Group of Southern California
Specialist · Sangabriel, CA
NPI number
1598040784
Active
Practice location
207 S. Santa Anita Street, Suite 338
Sangabriel, CA 91776-1160
Fax (626) 282-9953
Mailing address
PO Box 219
San Gabriel, CA 91778-0219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ph.D. Medical Genetics | 170100000X | A50980 (CA) |
| Specialist Primary | 174400000X | A50980 |
| Specialist | 174400000X | A50980 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1598040784
Maternal Fetal Medicine Medical Group of Southern California's National Provider Identifier is 1598040784, issued on Oct 19, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sangabriel, CA. The record was last updated on Oct 19, 2011.