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Organization
GATEWAY MEDICAL GROUP OF SAN DIEGO
Active
Organization
GATEWAY MEDICAL GROUP OF SAN DIEGO
Active
Other names
Gateway Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD D SANZONE DO (PRESIDENT)
(619) 527-7700
Entity
Organization
Contact information
Practice address
752 MEDICAL CENTER CT, SUITE 210, CHULA VISTA, CA 91911-6658
(619) 527-7700
(619) 527-3226
Mailing address
286 EUCLID AVE, SUITE 207, SAN DIEGO, CA 92114-3610
(619) 527-7700
(619) 527-3226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
W13278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0062450
—
CA
Enumeration date
06/03/2006
Last updated
08/19/2009
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