Boston Medical Group California LLC
Boston Medical Group California LLC is an Urology Physician in San Gabriel, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
207 S Santa Anita Ave P25ASan Gabriel, CA 91776
Phone: (615) 562-4578
Fax: (423) 949-3992
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence G9455 (CA) |
|---|
Record details
| NPI number | 1851799001 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joan Simpson — Director Of Cqrm · (615) 562-4578 |
| NPI enumerated | December 19, 2014 |
| Last updated in NPPES | December 19, 2014 |
| Mailing address | 23275 S Pointe Drive, Suite 100, Laguna Hills, CA 92653 |