SAN MARTIN DE PORRES MEDICAL CLINIC OF SOUTH GATE, INC is a general practice in South Gate, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee SAN MARTIN DE PORRES MEDICAL CLINIC OF SOUTH GATE, INC NPI is 1134298318. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
10001 CALIFORNIA AVE
SOUTH GATE, CA
ZIP 90280-005
Phone: (323) 564-4408
Fax: (323) 564-9641
The provider's authorized official is Ana Consiglieri .
The authorized official title is Supervisor and has the following contact phone number (323) 564-4408.
The CLIA number assigned to this NPI record is 05D0901845 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/6/2006 and was last updated on 10/6/2014.