GAGE MEDICAL CLINIC INC NPI 1477069375

NPI Information

GAGE MEDICAL CLINIC INC is a general practice in Huntington Park, CA. GAGE MEDICAL CLINIC INC NPI is 1477069375. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mother Theresa Medical Center Of Huntington Park.

The provider's business location address is:

3203 E. FLORENCE AVE.
HUNTINGTON PARK, CA
ZIP 90255-008
Phone: (323) 835-6310
Fax: (323) 835-6382

The provider's authorized official is Richard C. Keech .
The authorized official title is Physician/owner and has the following contact phone number (562) 699-2248.

The CLIA number assigned to this NPI record is 05D2146075 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2017 and was last updated on 1/25/2018.

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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