Organization · Type 2 NPI

Ultimate Male

General Practice Physician · San Gabriel, CA

NPI number 1720878382 Active

Practice location

360 E Las Tunas Dr Ste 204
San Gabriel, CA 91776-5514

Other practice locations

  • 8969 W Sunset Blvd Ste B, West Hollywood, CA 90069-1834 · (626) 319-5261

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed
Rehabilitation Clinic/Center 261QR0400XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1720878382

Ultimate Male's National Provider Identifier is 1720878382, issued on May 7, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Gabriel, CA. The record was last updated on May 8, 2025.