Organization · Type 2 NPI
Evergreen Medical Group
Primary Care Clinic/Center · Hacienda Heights, CA
NPI number
1760665772
Active
Practice location
1850 S Azusa Ave, Suite 60
Hacienda Heights, CA 91745-6813
Fax (626) 964-9893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | A39498 (CA) |
| Primary Care Clinic/Center Primary | 261QP2300X | A39498 (CA) |
Primary Care Clinic/Center: Definition to come...
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Other primary care clinic/center providers in Hacienda Heights
About NPI 1760665772
Evergreen Medical Group's National Provider Identifier is 1760665772, issued on Dec 12, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hacienda Heights, CA. The record was last updated on Dec 12, 2007.