Organization
SAN JUDAS TADEO MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMMEL GONZALEZ MD (MEDICAL DIRECTOR)
(323) 821-4386
Entity
Organization
Contact information
Practice address
1000 S LA BREA AVE STE 2, INGLEWOOD, CA 90301-3869
(310) 330-4818
(310) 330-4822
Mailing address
1000 S LA BREA AVE STE 2, INGLEWOOD, CA 90301-3869
(310) 330-4818
(310) 330-4822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us