Organization
GAGE MEDICAL CLINIC INC
Active
Parent organization
GAGE MEDICAL CLINIC INC.
Other names
Mother Theresa Medical Center of Huntington Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
GAGE MEDICAL CLINIC INC.
Authorized official
RICHARD C. KEECH M.D. (PHYSICIAN/OWNER)
(562) 699-2248
Entity
Organization
Contact information
Practice address
3203 E. FLORENCE AVE., HUNTINGTON PARK, CA 90255-3008
(323) 835-6310
(323) 835-6382
Mailing address
3203 E. FLORENCE AVENUE, HUNTINGTON PARK, CA 90255-3908
(323) 835-6310
(323) 835-6382
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G29047
CA
Other
Enumeration date
12/15/2017
Last updated
01/25/2018
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