# GENTLE CARE MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518667245
- **Authorized official:** RICHARD BARDOWELL MD (PRESIDENT)
- **Authorized official phone:** (818) 209-7575

## Contact information

- **Practice address:** 1211 N VERMONT AVE STE 100, LOS ANGELES, CA 90029-1748
- **Practice address phone:** (818) 209-7575
- **Mailing address:** 1211 N VERMONT AVE STE 100, LOS ANGELES, CA 90029-1748
- **Mailing address phone:** (818) 209-7575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2023
- **Last updated:** 04/10/2023