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Organization
GAGE MEDICAL CLINIC INC
Active
Organization
GAGE MEDICAL CLINIC INC
Active
Parent organization
GAGE MAEDICAL CLINIC INC
Other names
gAGE mEDICAL cLINIC iNC., CLINICA VIRGEN DE GUADALUPE
Organization subpart
Yes
Provider details
NPI number
Legal business name
GAGE MAEDICAL CLINIC INC
Authorized official
ODILIA WALSH (ADMINISTRATOR)
(562) 706-2433
Entity
Organization
Contact information
Practice address
985 W VERNON AVE, LOS ANGELES, CA 90037-3038
(323) 234-6300
Mailing address
985 W VERNON AVE, LOS ANGELES, CA 90037-3038
(323) 234-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A67659
CA
207Q00000X
Family Medicine Physician
G29047
CA
207Q00000X
Family Medicine Physician
Primary
NP437634
CA
207Q00000X
Family Medicine Physician
PA17459
CA
207Q00000X
Family Medicine Physician
PA18238
CA
207Q00000X
Family Medicine Physician
PA19004
CA
207Q00000X
Family Medicine Physician
PA20034
CA
207V00000X
Obstetrics & Gynecology Physician
A67659
CA
207V00000X
Obstetrics & Gynecology Physician
G29047
CA
207V00000X
Obstetrics & Gynecology Physician
PA17459
CA
207V00000X
Obstetrics & Gynecology Physician
PA18238
CA
207V00000X
Obstetrics & Gynecology Physician
PA19004
CA
207V00000X
Obstetrics & Gynecology Physician
PA20034
CA
207V00000X
Obstetrics & Gynecology Physician
RN437634
CA
Other
Enumeration date
01/14/2009
Last updated
01/19/2022
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