Organization
GEMSAG MEDICAL DEVELOPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE HIDALGO (NURSE PRACTITIONER)
(818) 435-4499
Entity
Organization
Contact information
Practice address
12204 VENTURA BLVD, STUDIO CITY, CA 91604-2518
(818) 435-4499
Mailing address
12204 VENTURA BLVD, STUDIO CITY, CA 91604-2518
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MH1988128
CA
Other
Enumeration date
01/18/2015
Last updated
01/18/2015
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