Organization
GRUPO MEDICO SAN PEDRO INC
Active
Other names
GRUPO MEDICO SAN PEDRO
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH I KANG MD (MEDICAL DIRECTOR / OWNER)
(562) 716-4468
Entity
Organization
Contact information
Practice address
13939 SAN ANTONIO DR, NORWALK, CA 90650-4036
(562) 807-3777
(562) 807-2333
Mailing address
13939 SAN ANTONIO DR, NORWALK, CA 90650-4036
(562) 807-3777
(562) 807-2333
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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