# GOOD SAMARITAN MEDICAL PRACTICE GROUP INC

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

## Provider details

- **NPI number:** 1679823496
- **Authorized official:** DR. RITA STARRITT M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (213) 481-0111

## Contact information

- **Practice address:** 1141 W 6TH ST, LOS ANGELES, CA 90017-1828
- **Practice address phone:** (213) 481-0111
- **Practice address fax:** (213) 481-0222
- **Mailing address:** 1141 W 6TH ST, LOS ANGELES, CA 90017-1828
- **Mailing address phone:** (213) 481-0111
- **Mailing address fax:** (213) 481-0222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C54648 | CA | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 09/19/2012