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SAN GABRIEL WOMEN'S HEALTH INC NPI 1356374359


NPI Information

NPI: 1356374359
Provider Name: SAN GABRIEL WOMEN'S HEALTH INC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 05D0872745

Address:
601 LAS TUNAS DR
101
ARCADIA, CA
ZIP 91007
Phone: (626) 462-0000
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SAN GABRIEL WOMEN'S HEALTH INC is a medical specialty clinic center in Arcadia, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SAN GABRIEL WOMEN'S HEALTH INC NPI is 1356374359. The provider is registered as an organization entity type.

The provider's business location address is:

601 LAS TUNAS DR
101
ARCADIA, CA
ZIP 91007-483
Phone: (626) 462-0000
Fax: (626) 462-0082

The provider's authorized official is Margaret M Juarez .
The authorized official title is Owner and has the following contact phone number (626) 462-0000.

The CLIA number assigned to this NPI record is 05D0872745 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyG60420CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0069250MEDICAIDCALIFORNIA
200G604203MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.