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Organization
PRIMARY AND MULTI SPECIALTY CLINICS OF ANAHEIM INC
Active
Organization
PRIMARY AND MULTI SPECIALTY CLINICS OF ANAHEIM INC
Active
Parent organization
NEW GENESIS MEDICAL ASSOCIATES, INC.
Other names
GATEWAY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW GENESIS MEDICAL ASSOCIATES, INC.
Authorized official
JEROD ELLIOTT (DIRECTOR)
(562) 537-2814
Entity
Organization
Contact information
Practice address
710 N EUCLID ST STE 101, ANAHEIM, CA 92801-4132
(714) 517-2000
(714) 490-1975
Mailing address
710 N EUCLID ST STE 400, ANAHEIM, CA 92801-4132
(714) 517-2000
(714) 490-1975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0099850
—
CA
Enumeration date
10/08/2006
Last updated
08/19/2025
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