# CLINICA MEDICA FAMILIAR SAN GABRIEL, LLC

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

## Provider details

- **NPI number:** 1609632298
- **Authorized official:** MARIE E BENTZ DNP, FNP-C (OWNER)
- **Authorized official phone:** (714) 465-0875

## Contact information

- **Practice address:** 4515 S MCCLINTOCK DR STE 115, TEMPE, AZ 85282-7381
- **Practice address phone:** (480) 780-0690
- **Practice address fax:** (480) 831-0415
- **Mailing address:** 4515 S MCCLINTOCK DR STE 115, TEMPE, AZ 85282-7381
- **Mailing address phone:** (480) 780-0690
- **Mailing address fax:** (480) 831-0415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2024
- **Last updated:** 02/22/2024