institution
San Martin De Porres Medical Clinic Of South Gate, Inc
General Practice Physician in South Gate, California
NPI 1134298318

San Martin De Porres Medical Clinic Of South Gate, Inc is a General Practice Physician based in South Gate, CA. San Martin De Porres Medical Clinic Of South Gate, Inc practices in South Gate, CA. The NPI Number for San Martin De Porres Medical Clinic Of South Gate, Inc is 1134298318 and holds a License No. (California).

The current practice location address for San Martin De Porres Medical Clinic Of South Gate, Inc is 10001 California Ave, South Gate, CA and can be reached out via phone at 323-564-4408 and via fax at 323-564-9641.

Location: 10001 California Ave, South Gate, CA, 90280-6005
institution
Provider Profile Details
NPI Number
1134298318
Provider Name
San Martin De Porres Medical Clinic Of South Gate, Inc
Credential
Provider Entity Type
Organization
Address
10001 California Ave, South Gate, CA, 90280-6005
Phone Number
323-564-4408
Fax Number
323-564-9641
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0061920 05 CA
institution
Provider Business Practice Location Address Details
Address
10001 California Ave
City
State
Zip
90280-6005
Phone Number
323-564-4408
Fax Number
323-564-9641
person
Provider Business Mailing Address Details
Address
10001 California Ave
City
State
Zip
90280-6005
Phone Number
323-564-4408
Fax Number
323-564-9641
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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