CENTRO MEDICO PRACTICE INC NPI 1265831028

NPI Information

  • NPI: 1265831028
  • Provider Name: CENTRO MEDICO PRACTICE INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: CENTRO MEDICO EL MONTE
  • CLIA Number: 05D2084441
  • Address: 11920 GARVEY AVE
    EL MONTE, CA
    ZIP 91732
  • Phone: (626) 448-7575

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NPI Details

CENTRO MEDICO PRACTICE INC is a family medicine in El Monte, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTRO MEDICO PRACTICE INC NPI is 1265831028. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centro Medico El Monte.

The provider's business location address is:

11920 GARVEY AVE
EL MONTE, CA
ZIP 91732-514
Phone: (626) 448-7575
Fax: (626) 448-8831

The provider's authorized official is Eun Il Shin .
The authorized official title is Director and has the following contact phone number (626) 448-7575.

The CLIA number assigned to this NPI record is 05D2084441 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2014 and was last updated on 10/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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