Organization
L G GATUS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANDRO GATUS (PRESIDENT)
(323) 462-7574
Entity
Organization
Contact information
Practice address
531 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1305
(323) 462-7574
(323) 462-7156
Mailing address
531 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1305
(323) 462-7574
(323) 462-7156
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
A45231
CA
208D00000X
General Practice Physician
Primary
A45231
CA
Other
Enumeration date
02/15/2010
Last updated
05/07/2010
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