Green Peace Medical Group

LBN: Green Peace Medical Group
Green Peace Medical Group is an health care organization with primary practice located at 330 W Las Tunas Dr Suite 3, San Gabriel CA 91776-1213. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Green Peace Medical Group can be contacted via phone (626) 573-0055, or through Chang, Sheng H via phone (626) 573-0055.

Contact Information

Primary practice address
330 W Las Tunas Dr Suite 3 San Gabriel CA 91776-1213
Phone: (626) 573-0055
Fax: (626) 573-4087
Website:
Map and Directions
Authorized official contact:
Name: Chang, Sheng H Doctor of Medicine (MD)
Phone: (626) 573-0055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A33409 California

Profile Details

NPI number 1003801648
LBN Legal business name Green Peace Medical Group
DBA Doing business as
Authorized official Chang, Sheng H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003801648 NPPES
California MEDICAID GR0091430

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