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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