# GS MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GS MEDICAL CENTER INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154876852
- **Legal business name:** GS MEDICAL CENTER INC
- **Authorized official:** GREGORY SMITH M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (424) 206-8336

## Contact information

- **Practice address:** 715 S AVERILL AVE, SAN PEDRO, CA 90732-3813
- **Practice address phone:** (424) 206-8336
- **Practice address fax:** (800) 337-6311
- **Mailing address:** 2980 N BEVERLY GLEN CIR STE 100, LOS ANGELES, CA 90077-1728
- **Mailing address phone:** (310) 474-9809
- **Mailing address fax:** (800) 337-6311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A50680 | CA | Yes |

## Other

- **Enumeration date:** 08/23/2016
- **Last updated:** 08/23/2016