STUDEBAKER MEDICAL GROUP NPI 1013129964

NPI Information

  • NPI: 1013129964
  • Provider Name: STUDEBAKER MEDICAL GROUP
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 13132 STUDEBAKER ROAD
    SUITE 9
    NORWALK, CA
    ZIP 90650
  • Phone: (562) 863-1012

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NPI Details

STUDEBAKER MEDICAL GROUP is a general practice in Norwalk, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee STUDEBAKER MEDICAL GROUP NPI is 1013129964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13132 STUDEBAKER ROAD
SUITE 9
NORWALK, CA
ZIP 90650-575
Phone: (562) 863-1012

The provider's authorized official is Galal Gough .
The authorized official title is President and has the following contact phone number (714) 335-9889.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 10/10/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1512307662AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIADR. GOUGH'S INDIVIDUAL NO

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: 3/30/2025

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