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GATEWAY COMPREHENSIVE MEDICAL GROUP NPI 1376834077


NPI Information

NPI: 1376834077
Provider Name: GATEWAY COMPREHENSIVE MEDICAL GROUP
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 05D0993864

Address:
995 GATEWAY CENTER WAY STE 105
SAN DIEGO, CA
ZIP 92102
Phone: (619) 264-1934
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GATEWAY COMPREHENSIVE MEDICAL GROUP is a legal medicine in San Diego, 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. GATEWAY COMPREHENSIVE MEDICAL GROUP NPI is 1376834077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

995 GATEWAY CENTER WAY STE 105
SAN DIEGO, CA
ZIP 92102-544
Phone: (619) 264-1934

The provider's authorized official is Tarek I Hassanein .
The authorized official title is Md and has the following contact phone number (619) 264-1934.

The CLIA number assigned to this NPI record is 05D0993864 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2011 and was last updated on 4/28/2011.


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 MedicineA54452CALIFORNIAYes

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: 11/14/2023

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