GREATER VALLEY PHYSICIANS MEDICAL GROUP INC is a primary care clinic center in Hacienda Heights, CA. GREATER VALLEY PHYSICIANS MEDICAL GROUP INC NPI is 1053500991. The provider is registered as an organization entity type.
The provider's business location address is:
2219 S HACIENDA BLVD
SUITE 101
HACIENDA HEIGHTS, CA
ZIP 91745-639
Phone: (626) 961-2461
Fax: (626) 330-5392
The provider's authorized official is Lakshman Makandura .
The authorized official title is Physician/ Owner and has the following contact phone number (626) 961-2461.
The CLIA number assigned to this NPI record is 05D2096529 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/16/2007 and was last updated on 3/8/2013.