Organization
GATEWAY COMPREHENSIVE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK HASSANEIN M.D. (DIRECTOR)
(619) 990-1698
Entity
Organization
Contact information
Practice address
995 GATEWAY CENTER WAY, SUITE 105, SAN DIEGO, CA 92102-4500
(619) 264-1934
Mailing address
PO BOX 181770, CORONADO, CA 92178-1770
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A54452
CA
Other
Enumeration date
11/03/2010
Last updated
04/29/2015
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