Centro Medico Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRO MEDICO PRACTICE INC

Doing business as

Centro Medico El Monte

Practice address

11920 Garvey Ave
El Monte, CA 91732-3514

Phone

(626) 448-7575

Fax

(626) 448-8831

NPI assigned

Aug 18, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eun Il Shin

Title

Director

Phone

(626) 448-7575

Specialties & licenses 1

Addresses

Other names 1

• CENTRO MEDICO EL MONTE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1265831028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323514",
            "telephone_number": "626-448-7575",
            "fax_number": "626-448-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323514",
            "telephone_number": "626-448-7575",
            "fax_number": "626-448-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "EUN IL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-448-7575",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO MEDICO EL MONTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Charlie T Chan
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• Family Medicine Physician in El Monte, CA
• Providers in El Monte, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.