Active NPI
Empire Global Health Group Inc
- Family Medicine Physician
- Diamond Bar, CA
National Provider Identifier
1487256400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EMPIRE GLOBAL HEALTH GROUP INC
- Practice address
- 1360 Valley Vista Dr Ste 210
Diamond Bar, CA 91765-3953 - Phone
- (224) 558-9705
- NPI assigned
- Nov 13, 2020
- Last updated
- Nov 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pedro Sanque
- Title
- Administrator
- Phone
- (224) 558-9705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1360 Valley Vista Dr Ste 210
Diamond Bar, CA 91765-3953
Mailing address
1360 Valley Vista Dr Ste 210
Diamond Bar, CA 91765-3953
National Provider Directory
National Provider DirectoryLocations
1360 Valley Vista Dr
Ste 210
Diamond Bar, CA 91765
Phone (224) 558-9705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605225600000",
"number": "1487256400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 VALLEY VISTA DR STE 210",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 VALLEY VISTA DR STE 210",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653953",
"telephone_number": "224-558-9705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPIRE GLOBAL HEALTH GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A",
"authorized_official_last_name": "SANQUE",
"authorized_official_first_name": "PEDRO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "224-558-9705"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.