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Organization
EVA MARIE GENTILE, MD INC
Active
Organization
EVA MARIE GENTILE, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA MARIE GENTILE MD (CEO)
(949) 218-3001
Entity
Organization
Contact information
Practice address
1300 AVENIDA VISTA HERMOSA, 100, SAN CLEMENTE, CA 92673-6315
(949) 218-3001
(949) 218-8051
Mailing address
1300 AVENIDA VISTA HERMOSA, 100, SAN CLEMENTE, CA 92673-6315
(949) 218-3001
(949) 218-8051
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A42926
CA
Other
Enumeration date
05/14/2012
Last updated
05/18/2012
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