San Gabriel Valley Surgical Medical Grp, INC
NPI #1629078589 in San Dimas, California
Provider Information
- NPI Number
- 1629078589
- Entity Type
- Organization
- Organization Name
- San Gabriel Valley Surgical Medical Grp, INC
- Primary Specialty
- Surgery
- Enumeration Date
- Jul 21, 2005
- Last Updated
- Oct 18, 2011
Practice Location
- Address
- 1330 W COVINA BLVD
- Address 2
- SUITE 101
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3200
- Phone
- (909) 599-6784
Authorized Official
- Name
- DR. MARK FREDERICK ANAPOELL, M.D.
- Title
- PRESIDENT
- Phone
- (909) 599-6784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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