GATEWAY MEDICAL SERVICES INC. NPI 1770993370

NPI Information

GATEWAY MEDICAL SERVICES, INC. is a family medicine in Palo Cedro, 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. GATEWAY MEDICAL SERVICES, INC. NPI is 1770993370. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9461 DESCHUTES RD
UNIT 4
PALO CEDRO, CA
ZIP 96073-761
Phone: (530) 365-1833
Fax: (530) 365-5186

The provider's authorized official is Tiffany Lockhart Reguera .
The authorized official title is Owner and has the following contact phone number (530) 515-4202.

The CLIA number assigned to this NPI record is 05D2103597 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2014 and was last updated on 8/11/2015.

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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