National Provider Identifier Database

SAN GABRIEL VALLEY MEDICAL CENTER
Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.


Contact Information

SAN GABRIEL VALLEY MEDICAL CENTER
438 W LAS TUNAS DR
SAN GABRIEL, CA91776-1216
Phone: 626-570-6640
Fax: 626-457-7153
Website:
Specialty Taxonomy Code
* Long Term Care Pharmacy 3336L0003X
Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for SAN GABRIEL VALLEY MEDICAL CENTER

NPI Number 1366484909
Legal business name
LBN
SAN GABRIEL VALLEY MEDICAL CENTER
Authorized official HOUSHANG ABD - (CFO)
Entity Organization
Organization subpart No
Enumeration date 06/11/2006
Last updated 06/23/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY48932
  • Other: 2094550 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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