Provider Type Icon

SAN GABRIEL PHYSICIANS SPECIALTY MEDICAL GROUP NPI 1306050463


NPI Information

NPI: 1306050463
Provider Name: SAN GABRIEL PHYSICIANS SPECIALTY MEDICAL GROUP
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
2411 DALY STREET
LOS ANGELES, CA
ZIP 90031
Phone: (323) 223-9931
Get Directions

SAN GABRIEL PHYSICIANS SPECIALTY MEDICAL GROUP is a legal medicine in Los Angeles, CA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. SAN GABRIEL PHYSICIANS SPECIALTY MEDICAL GROUP NPI is 1306050463. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2411 DALY STREET
LOS ANGELES, CA
ZIP 90031
Phone: (323) 223-9931
Fax: (323) 223-1229

The provider's authorized official is Maria Eugenia Khalatian .
The authorized official title is Pediatrician and has the following contact phone number (323) 223-9931.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineA31083CALIFORNIANo
2173000000XLegal MedicineA33207CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.