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Individual

GARY S MA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 W ARBOR DR, # 8425, SAN DIEGO, CA 92103-9000
(619) 543-6268
(619) 543-6269
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A153730
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A153730
CA
207RI0011X
Interventional Cardiology Physician
A153730
CA

Other

Enumeration date
04/19/2016
Last updated
06/06/2024
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