Organization · Type 2 NPI

Gage Medical Clinic Inc

General Practice Physician · Huntington Park, CA

NPI number 1477069375 Active

Practice location

3203 E. Florence Ave.
Huntington Park, CA 90255-3008

Call (323) 835-6310 Map

Fax (323) 835-6382

Mailing address

3203 E. Florence Avenue
Huntington Park, CA 90255-3908

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	G29047 (CA)

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

Other general practice physician providers in Huntington Park

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NPI record

NPI: 1477069375
Entity type: Organization (Type 2)
Issued: Dec 15, 2017
Last updated: Jan 25, 2018
Status: Active
Subpart: Yes of Gage Medical Clinic Inc.

Other names

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Mother Theresa Medical Center of Huntington Park · doing business as

Authorized official

Richard C. Keech, MD
Physician/owner
(562) 699-2248

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477069375

Gage Medical Clinic Inc's National Provider Identifier is 1477069375, issued on Dec 15, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Huntington Park, CA. The record was last updated on Jan 25, 2018.