Provider Demographics
NPI:1174348684
Name:SEEN HEALTH SAN GABRIEL VALLEY, LLC
Entity type:Organization
Organization Name:SEEN HEALTH SAN GABRIEL VALLEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:XING
Authorized Official - Middle Name:
Authorized Official - Last Name:SU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-207-6330
Mailing Address - Street 1:548 MARKET ST
Mailing Address - Street 2:PMB 76247
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104
Mailing Address - Country:US
Mailing Address - Phone:626-563-0588
Mailing Address - Fax:626-604-1062
Practice Address - Street 1:1839 W VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-2344
Practice Address - Country:US
Practice Address - Phone:626-263-1263
Practice Address - Fax:626-604-1062
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEEN HEALTH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy