Organization
MARIA AUXILIADORA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ZANELLI (ADMINISTRATOR)
(323) 582-8612
Entity
Organization
Contact information
Practice address
9401 LONG BEACH BLVD, SOUTH GATE, CA 90280-4144
(323) 582-8612
(323) 567-9784
Mailing address
PO BOX 717, SOUTH GATE, CA 90280-0717
(323) 582-8612
(323) 567-9784
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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