Organization · Type 2 NPI

Maria Auxiliadora Medical Group

General Practice Physician · South Gate, CA

NPI number 1104931112 Active

Practice location

9401 Long Beach Blvd
South Gate, CA 90280-4144

Call (323) 582-8612 Map

Fax (323) 567-9784

Mailing address

PO Box 717
South Gate, CA 90280-0717

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1104931112

Maria Auxiliadora Medical Group's National Provider Identifier is 1104931112, issued on Aug 20, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in South Gate, CA. The record was last updated on Aug 22, 2020.