Organization · Type 2 NPI

San Gabriel Vip, A California Limited Partnership

Diagnostic Radiology Physician · West Covina, CA

NPI number 1619908480 Active

Practice location

1401 W Merced Ave, Suite 102
West Covina, CA 91790-3401

Call (626) 813-9988 Map

Fax (626) 813-0075

Mailing address

PO Box 635
West Covina, CA 91793-0635

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5 other providers at this address

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About NPI 1619908480

San Gabriel Vip, A California Limited Partnership's National Provider Identifier is 1619908480, issued on Jul 6, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in West Covina, CA. The record was last updated on Nov 6, 2012.