San Gabriel Valley Perinatal Medical Group, Inc

LBN: San Gabriel Valley Perinatal Medical Group, Inc
San Gabriel Valley Perinatal Medical Group, Inc is an health care organization with primary practice located at 1135 S Sunset Ave Ste 402, West Covina CA 91790-3938. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as the primary health care specialty. San Gabriel Valley Perinatal Medical Group, Inc can be contacted via phone (626) 337-4425, or through Avila, Carmen O via phone (626) 337-4425.

Contact Information

Primary practice address
1135 S Sunset Ave Ste 402 West Covina CA 91790-3938
Fax: (626) 337-4606
Website:
Authorized official contact:
Name: Avila, Carmen O

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X California

Profile Details

NPI number 1154371623
LBN Legal business name San Gabriel Valley Perinatal Medical Group, Inc
DBA Doing business as
Authorized official Avila, Carmen O
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Jun 20th, 2018 - about 7 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 1154371623 NPPES
California Other G71304 BRENDA ROSS, M.D.
California MEDICAID 00G794030 BRENDA ROSS, M.D.
California MEDICAID 00A507640 BRENDA ROSS, M.D.

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