# MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MFA Medical Group Gateway Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548469174
- **Authorized official:** REBECCA SHAW (CEO)
- **Authorized official phone:** (209) 723-1920

## Contact information

- **Practice address:** 378 W OLIVE AVE, SUITE D, MERCED, CA 95348-3182
- **Practice address phone:** (209) 725-7560
- **Practice address fax:** (209) 725-7561
- **Mailing address:** PO BOX 3768, MERCED, CA 95344-3768
- **Mailing address phone:** (209) 725-7149
- **Mailing address fax:** (209) 726-0259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 07/15/2014