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Organization
GN MEDICAL ASSOCIATES, INC.
Active
Organization
GN MEDICAL ASSOCIATES, INC.
Active
Other names
Gerinet Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE MLOT MD (PRESIDENT)
(888) 798-9585
Entity
Organization
Contact information
Practice address
3090 BRISTOL ST STE 200, COSTA MESA, CA 92626-3061
(888) 789-9585
(562) 803-4500
Mailing address
3090 BRISTOL ST STE 200, COSTA MESA, CA 92626-3061
(888) 789-9585
(714) 619-3069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089880
—
CA
Enumeration date
06/14/2006
Last updated
01/18/2022
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