Organization
SAN GABRIEL PEDIATRICS MEDICAL CORPORATION
Active
Other names
SAN GABRIEL PEDIATRICS, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEZIA OGUGUA AZINGE-OBASI M.D. (PRESIDENT/CEO)
(323) 290-2832
Entity
Organization
Contact information
Practice address
3450 W 43RD ST, SUITE 107, LOS ANGELES, CA 90008-4943
(323) 290-2832
(323) 290-2836
Mailing address
3450 W 43RD ST, SUITE 107, LOS ANGELES, CA 90008-4943
(323) 290-2832
(323) 290-2836
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A53449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A534490
—
CA
05
—
00A534491
—
CA
05
—
00A534492
—
CA
Enumeration date
07/12/2005
Last updated
03/02/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us