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Organization
SAN GABRIEL PHYSICIANS SPECIALTY MEDICAL GROUP
Active
Organization
SAN GABRIEL PHYSICIANS SPECIALTY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA EUGENIA KHALATIAN M.D. (PEDIATRICIAN)
(323) 223-9931
Entity
Organization
Contact information
Practice address
2411 DALY STREET, LOS ANGELES, CA 90031
(323) 223-9931
(323) 223-1229
Mailing address
2411 DALY STREET, LOS ANGELES, CA 90031
(323) 223-9931
(323) 223-1229
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
A31083
CA
173000000X
Legal Medicine
Primary
A33207
CA
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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