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SAN GABRIEL HEALTH CLINIC
NPI 1073534608
Family Medicine in Rosemead, CA

Active since July 21, 2006CLIA 05D1048122 · Waiver
2630 SAN GABRIEL BLVD, SUITE 105, ROSEMEAD, CA 91770(626) 288-2007(626) 288-2116 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Gabriel Health Clinic NPPES

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

SAN GABRIEL HEALTH CLINIC (NPI 1073534608) is a healthcare organization registered as a family medicine in Rosemead, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Bo Tan Huynh, President, as its authorized official.

NPPES Registry Identity

NPI1073534608
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAN GABRIEL HEALTH CLINIC
Location Address2630 SAN GABRIEL BLVD, SUITE 105Rosemead, CA 91770-5204
Mailing Address2630 San Gabriel Blvd, Suite 105Rosemead, CA 91770-5204 · (626) 288-2007 · Fax (626) 288-2116
Phone(626) 288-2007
Fax(626) 288-2116
Organization SubpartNo
Authorized OfficialBo Tan HuynhPresident · (626) 288-2007
Enumeration DateJuly 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073534608 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 · FNP34454
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.
2630 SAN GABRIEL BLVD, Rosemead, CA 91770
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Other Identifiers 2

OtherFNP34454CA · Fictitious Business #
MedicaidGR0102390CA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1048122

San Gabriel Health Clinic · Rosemead, CA
Active · expires May 16, 2028
CLIA Number05D1048122
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorBo Tan Huynh
Laboratory Phone(626) 288-2007
Laboratory LocationSan Gabriel Health Clinic2630 San Gabriel Blvd, Suite 105, Rosemead, CA 91770
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

ULTIMATE PHYSICAL THERAPY AND REHABILITATION CLINIC INC
Physical Therapist
2630 SAN GABRIEL BLVD, SUITE 104
ROSEMEAD, CA 91770
Los Angeles County (626) 307-1718
PROREHAB PHYSICAL THERAPY AND SPORTS MEDICINE, APC
Clinic/Center (Physical Therapy)
2630 SAN GABRIEL BLVD, SUITE 103
ROSEMEAD, CA 91770
Los Angeles County (626) 288-8180
MR. CONRADO M PALIS PT
Physical Therapist
2630 SAN GABRIEL BLVD, SUITE 104
ROSEMEAD, CA 91770
Los Angeles County (626) 307-1718
RAY MING OU PT
Physical Therapist
2630 SAN GABRIEL BLVD, SUITE 103
ROSEMEAD, CA 91770
Los Angeles County (626) 288-8180
WIN CHIROPRACTIC, INC.
Chiropractor
2630 SAN GABRIEL BLVD, SUITE 200
ROSEMEAD, CA 91770
Los Angeles County (626) 257-6668
LESLIE TIEU PHARMD
Pharmacist
2630 SAN GABRIEL BLVD, SUITE 106
ROSEMEAD, CA 91770
Los Angeles County (626) 572-8255
KYLE C WUNG PT
Physical Therapist
2630 SAN GABRIEL BLVD, SUITE 200
ROSEMEAD, CA 91770
Los Angeles County (626) 280-9968
HSIEH & HSIEH CHIROPRACTIC INC.
Chiropractor
2630 SAN GABRIEL BLVD, #200
ROSEMEAD, CA 91770
Los Angeles County (626) 280-9968

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 San Gabriel Health Clinic's NPI number?

The NPI number for San Gabriel Health Clinic is 1073534608. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is San Gabriel Health Clinic located?

San Gabriel Health Clinic is located at 2630 San Gabriel Blvd Suite 105, Rosemead, CA 91770. The listed phone number is (626) 288-2007.

What is San Gabriel Health Clinic's specialty?

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

Does San Gabriel Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1048122) is associated with this NPI, valid through May 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Gabriel Health Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.