# L G GATUS MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1871815043
- **Authorized official:** LEANDRO GATUS (PRESIDENT)
- **Authorized official phone:** (323) 462-7574

## Contact information

- **Practice address:** 531 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1305
- **Practice address phone:** (323) 462-7574
- **Practice address fax:** (323) 462-7156
- **Mailing address:** 531 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1305
- **Mailing address phone:** (323) 462-7574
- **Mailing address fax:** (323) 462-7156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0802X | Addiction Psychiatry Physician | A45231 | CA | — |
| 208D00000X | General Practice Physician | A45231 | CA | Yes |

## Other

- **Enumeration date:** 02/15/2010
- **Last updated:** 05/07/2010