# GARDENS REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104099415
- **Authorized official:** DR. MATHIAS A. FOBI M.D. (BARIATRIC SURGEON)
- **Authorized official phone:** (310) 617-4334

## Contact information

- **Practice address:** 21520 PIONEER BLVD, SUITE 204, HAWAIIAN GARDENS, CA 90716-2603
- **Practice address phone:** (562) 402-9779
- **Practice address fax:** (562) 924-4086
- **Mailing address:** 21520 PIONEER BLVD, SUITE 204, HAWAIIAN GARDENS, CA 90716-2603
- **Mailing address phone:** (562) 402-9779
- **Mailing address fax:** (562) 924-4086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA19699 | CA | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 04/08/2008