GREEN PEACE MEDICAL GROUP
NPI 1003801648
Family Medicine in San Gabriel, CA

Active since September 20, 2005
330 W LAS TUNAS DR, SUITE 3, SAN GABRIEL, CA 91776(626) 573-0055(626) 573-4087 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Green Peace Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN PEACE MEDICAL GROUP (NPI 1003801648) is a healthcare organization registered as a family medicine in San Gabriel, California and active in the NPI registry since September 2005. The organization lists Sheng H Chang, Owner, as its authorized official.

NPPES Registry Identity

NPI1003801648
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREEN PEACE MEDICAL GROUP
Location Address330 W LAS TUNAS DR, SUITE 3San Gabriel, CA 91776-1213
Mailing Address330 W Las Tunas Dr, Suite 3San Gabriel, CA 91776-1213 · (626) 573-0055 · Fax (626) 573-4087
Fax(626) 573-4087
Organization SubpartNo
Authorized OfficialSheng H ChangOwner · (626) 573-0055
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJune 16, 2008
NPI 1003801648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A33409
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
330 W LAS TUNAS DR, San Gabriel, CA 91776

Other Identifiers 2

Medicare ID-Type UnspecifiedW16194CA
MedicaidGR0091430CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
330 W LAS TUNAS DR, SUITE 3
SAN GABRIEL, CA 91776
Clinic/Center (Health Service)
330 W LAS TUNAS DR, SUITE#1
SAN GABRIEL, CA 91776
Family Medicine
330 W LAS TUNAS DR, SUITE 3
SAN GABRIEL, CA 91776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Peace Medical Group's NPI number?

The NPI number for Green Peace Medical Group is 1003801648. It was assigned to this organization in the NPPES registry on September 20, 2005.

Where is Green Peace Medical Group located?

Green Peace Medical Group is located at 330 W Las Tunas Dr Suite 3, San Gabriel, CA 91776. The listed phone number is (626) 573-0055.

What is Green Peace Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Green Peace Medical Group was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.