Well Care Medical Group Professional Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WELL CARE MEDICAL GROUP PROFESSIONAL CORPORATION

Practice address

311 E Valley Blvd Ste 111-112
San Gabriel, CA 91776-3554

Phone

(626) 318-5585

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rong Yang, M.D.

Title

Owner

Phone

(626) 318-5585

Specialties & licenses 1

Addresses

Other names 1

• None Former legal business name

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962526038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E VALLEY BLVD STE 111-112",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763554",
            "telephone_number": "626-318-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E VALLEY BLVD STE 111-112",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763554",
            "telephone_number": "626-318-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE MEDICAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "RONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-318-5585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Multi-Specialty Clinic/Center in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.