Eastland Medical Group, Inc.
NPI #1174678734 in Azusa, California
Provider Information
- NPI Number
- 1174678734
- Entity Type
- Organization
- Organization Name
- Eastland Medical Group, Inc.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 751 N TODD AVE
- City
- Azusa
- State
- California
- ZIP Code
- 91702-2244
- Phone
- (626) 960-8614
Authorized Official
- Name
- LAURA LONGLEY
- Title
- CHIEF OF OPERATIONS
- Phone
- (626) 960-8614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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