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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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STUDEBAKER MEDICAL GROUP is a general practice in Norwalk, CA. 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 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.