Green Peace Medical Group
NPI #1003801648 in San Gabriel, California
Provider Information
- NPI Number
- 1003801648
- Entity Type
- Organization
- Organization Name
- Green Peace Medical Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 20, 2005
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 330 W LAS TUNAS DR
- Address 2
- SUITE 3
- City
- San Gabriel
- State
- California
- ZIP Code
- 91776-1213
- Phone
- (626) 573-0055
Authorized Official
- Name
- SHENG H CHANG, MD
- Title
- OWNER
- Phone
- (626) 573-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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