GAGE MEDICAL CLINIC INC NPI 1114053279

NPI Information

GAGE MEDICAL CLINIC INC is a family medicine in Inglewood, CA. The provider is 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. GAGE MEDICAL CLINIC INC NPI is 1114053279. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinica Medical San Judas Tadeo.

The provider's business location address is:

501 E HARDY ST STE 110
INGLEWOOD, CA
ZIP 90301-015
Phone: (424) 800-2454

The provider's authorized official is Odilia Walsh .
The authorized official title is Administrator and has the following contact phone number (562) 706-2433.

The CLIA number assigned to this NPI record is 05D1060354 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2007 and was last updated on 1/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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