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GOLDEN EAGLE MEDICAL NETWORK NPI 1073879557


NPI Information

NPI: 1073879557
Provider Name: GOLDEN EAGLE MEDICAL NETWORK

Doing Business As: CLINICA MEDICA SAN PEDRO NETWORK

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
9739 CALIFORNIA AVE
SOUTH GATE, CA
ZIP 90280
Phone: (323) 566-2222
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GOLDEN EAGLE MEDICAL NETWORK is an obstetrics gynecology in South Gate, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GOLDEN EAGLE MEDICAL NETWORK NPI is 1073879557. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinica Medica San Pedro Network.

The provider's business location address is:

9739 CALIFORNIA AVE
SOUTH GATE, CA
ZIP 90280-609
Phone: (323) 566-2222
Fax: (323) 567-2222

The provider's authorized official is Jacinto Lam .
The authorized official title is President and has the following contact phone number (323) 566-2222.

The enumeration date for this NPI number is 4/9/2012 and was last updated on 4/9/2012.


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
1207V00000XObstetrics & GynecologyA 39722CALIFORNIAYes

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: 5/5/2024

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