Organization
GARY P. MCCAUGHAN, M.D., INC
Active
Organization
GARY P. MCCAUGHAN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY P. MCCAUGHAN M.D (PRESIDENT)
(562) 928-0066
Entity
Organization
Contact information
Practice address
11500 BROOKSHIRE AVE, DOWNEY, CA 90241-4917
(562) 904-5000
(562) 904-5140
Mailing address
PO BOX 1809, ORANGE, CA 92856-0809
(714) 560-1580
(714) 560-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G47746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G477460
BLUE SHIELD
CA
05
—
00G477460
—
CA
Enumeration date
03/12/2008
Last updated
03/12/2008
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