# GAGE MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GAGE MEDICAL CLINIC INC.
- **Other names:** Mother Theresa Medical Center of Huntington Park
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477069375
- **Legal business name:** GAGE MEDICAL CLINIC INC.
- **Authorized official:** RICHARD C. KEECH M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (562) 699-2248

## Contact information

- **Practice address:** 3203 E. FLORENCE AVE., HUNTINGTON PARK, CA 90255-3008
- **Practice address phone:** (323) 835-6310
- **Practice address fax:** (323) 835-6382
- **Mailing address:** 3203 E. FLORENCE AVENUE, HUNTINGTON PARK, CA 90255-3908
- **Mailing address phone:** (323) 835-6310
- **Mailing address fax:** (323) 835-6382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G29047 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2017
- **Last updated:** 01/25/2018