Southland San Gabriel Valley Medical Group, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

SOUTHLAND SAN GABRIEL VALLEY MEDICAL GROUP, INC.

Practice address

820 S Garfield Ave
Suite 201 a
Alhambra, CA 91801-5838

Phone

(626) 782-6202

Fax

(626) 249-5399

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David T.H. Nguyen, D.O.

Title

President

Phone

(626) 782-6202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1740448786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S GARFIELD AVE",
            "address_2": "SUITE 201 A",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015838",
            "telephone_number": "626-782-6202",
            "fax_number": "626-249-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S GARFIELD AVE",
            "address_2": "SUITE 201 A",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015838",
            "telephone_number": "626-782-6202",
            "fax_number": "626-249-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND SAN GABRIEL VALLEY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T.H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-782-6202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.