Provider Demographics
NPI:1124078860
Name:GARVEY MEDICAL CENTER
Entity type:Organization
Organization Name:GARVEY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEW
Authorized Official - Middle Name:W
Authorized Official - Last Name:QUON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-680-0456
Mailing Address - Street 1:201 W GARVEY AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7420
Mailing Address - Country:US
Mailing Address - Phone:626-573-2188
Mailing Address - Fax:626-573-1345
Practice Address - Street 1:201 W GARVEY AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7420
Practice Address - Country:US
Practice Address - Phone:626-573-2188
Practice Address - Fax:626-573-1345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG0087570Medicaid
CA4399233OtherPIN
CAG0087570Medicaid