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Organization
ZOSIMA B. CARINO-GATEB, M.D., INC.
Active
Organization
ZOSIMA B. CARINO-GATEB, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZOSIMA B CARINO-GATEB MD (PRIMARY CARE PHYSICIAN)
(760) 775-7763
Entity
Organization
Contact information
Practice address
81833 DOCTOR CARREON BLVD, SUITE 6, INDIO, CA 92201-0602
(760) 775-7763
(760) 775-9953
Mailing address
81833 DOCTOR CARREON BLVD, SUITE 6, INDIO, CA 92201-0602
(760) 775-7763
(760) 775-9953
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A45857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A458571
—
CA
01
—
10944448
CAQH
CA
01
—
1508842741
INDIVIDUAL NPI
CA
01
—
1962770875
INDIVIDUAL NPI PCP 2
CA
Enumeration date
06/14/2013
Last updated
03/14/2014
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