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Organization
NEW AGE MED GROUP
Active
Organization
NEW AGE MED GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL J GEBHARD (CEO)
(562) 606-9474
Entity
Organization
Contact information
Practice address
1827 XIMENO AVE, SUITE 6, LONG BEACH, CA 90815-2850
(562) 606-9474
Mailing address
1827 XIMENO AVE, SUITE 6, LONG BEACH, CA 90815-2850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G80567
CA
Other
Enumeration date
03/14/2009
Last updated
06/02/2009
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