Organization
B & G MEDICAL AND SURGICAL PROVIDERS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELHAM GADISHAH M.D. (DOCTOR)
(310) 490-8181
Entity
Organization
Contact information
Practice address
10660 WILSHIRE BLVD APT 1108, LOS ANGELES, CA 90024-4526
(310) 490-8181
Mailing address
10660 WILSHIRE BLVD APT 1108, LOS ANGELES, CA 90024-4526
(310) 490-8181
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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