Organization
GPS MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD FERNANDO PEGO M.D. (PARTNER)
(818) 365-9595
Entity
Organization
Contact information
Practice address
17075 DEVONSHIRE ST #201, NORTHRIDGE, CA 91325-5407
(818) 365-9595
(818) 365-8955
Mailing address
17075 DEVONSHIRE ST #201, NORTHRIDGE, CA 91325-5407
(818) 365-9595
(818) 365-8955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33230
CA
Other
Enumeration date
12/22/2006
Last updated
01/10/2008
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