MARIA AUXILIADORA MEDICAL GROUP NPI 1104931112

NPI Information

  • NPI: 1104931112
  • Provider Name: MARIA AUXILIADORA MEDICAL GROUP
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 9401 LONG BEACH BLVD
    SOUTH GATE, CA
    ZIP 90280
  • Phone: (323) 582-8612

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NPI Details

MARIA AUXILIADORA MEDICAL GROUP is a general practice in South Gate, 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 MARIA AUXILIADORA MEDICAL GROUP NPI is 1104931112. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9401 LONG BEACH BLVD
SOUTH GATE, CA
ZIP 90280-144
Phone: (323) 582-8612
Fax: (323) 567-9784

The provider's authorized official is George Zanelli .
The authorized official title is Administrator and has the following contact phone number (323) 582-8612.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.

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

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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