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Organization
ROSALIND G. PALLIVATHUCAL MD INC.
Active
Organization
ROSALIND G. PALLIVATHUCAL MD INC.
Active
Other names
Clinica Maria Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSALIND GEORGE PALLIVATHUCAL M.D. (MEDICAL DIRECTOR)
(323) 357-1000
Entity
Organization
Contact information
Practice address
8100 CALIFORNIA AVE, SUITE K, SOUTH GATE, CA 90280-2469
(323) 357-1000
(323) 357-1001
Mailing address
8100 CALIFORNIA AVE, SOUTH GATE, CA 90280-2469
(323) 357-1000
(323) 357-1001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A43918
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A43918
—
CA
Enumeration date
02/22/2007
Last updated
07/23/2009
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