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GAGE MEDICAL CLINIC INC NPI 1003053943


NPI Information

NPI: 1003053943
Provider Name: GAGE MEDICAL CLINIC INC

Doing Business As: CLINICA VIRGEN DE GUADALUPE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1096454

Address:
985 W VERNON AVE
LOS ANGELES, CA
ZIP 90037
Phone: (323) 234-6300
Get Directions

GAGE MEDICAL CLINIC INC is a family medicine in Los Angeles, 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. GAGE MEDICAL CLINIC INC NPI is 1003053943. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinica Virgen De Guadalupe.

The provider's business location address is:

985 W VERNON AVE
LOS ANGELES, CA
ZIP 90037-038
Phone: (323) 234-6300

The provider's authorized official is Odilia Walsh .
The authorized official title is Administrator and has the following contact phone number (562) 706-2433.

The CLIA number assigned to this NPI record is 05D1096454 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 1/19/2022.


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
1207V00000XObstetrics & GynecologyPA18238CALIFORNIANo
2207V00000XObstetrics & GynecologyPA17459CALIFORNIANo
3207V00000XObstetrics & GynecologyA67659CALIFORNIANo
4207V00000XObstetrics & GynecologyRN437634CALIFORNIANo
5207V00000XObstetrics & GynecologyPA19004CALIFORNIANo
6207V00000XObstetrics & GynecologyPA20034CALIFORNIANo
7207Q00000XFamily MedicineG29047CALIFORNIANo
8207Q00000XFamily MedicinePA20034CALIFORNIANo
9207Q00000XFamily MedicineA67659CALIFORNIANo
10207V00000XObstetrics & GynecologyG29047CALIFORNIANo
11207Q00000XFamily MedicinePA19004CALIFORNIANo
12207Q00000XFamily MedicinePA18238CALIFORNIANo
13207Q00000XFamily MedicinePA17459CALIFORNIANo
14207Q00000XFamily MedicineNP437634CALIFORNIAYes

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

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.