Green Peace Medical Group
Green Peace Medical Group is a Family Medicine Physician in San Gabriel, California. Licensed in California. Registered with an NPI since 2005.
- Licensed in
- CA
- In the registry since
- 2005
Practice location Address checks out
330 W Las Tunas Dr Ste 3San Gabriel, CA 91776-1213
Phone: (626) 573-0055
Fax: (626) 573-4087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A33409 (CA) |
|---|
Record details
| NPI number | 1003801648 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sheng Chang — Owner · (626) 573-0055 |
| NPI enumerated | September 20, 2005 |
| Last updated in NPPES | June 16, 2008 |
| Mailing address | 330 W Las Tunas Dr, Suite 3, San Gabriel, CA 91776-1213 |
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