San Gabriel Pediatrics Medical Corporation
San Gabriel Pediatrics Medical Corporation is a Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2005.
- Licensed in
- CA
- In the registry since
- 2005
Practice location Address checks out
3450 W 43rd St Ste 107Los Angeles, CA 90008-4943
Phone: (323) 290-2832
Fax: (323) 290-2836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence A53449 (CA) |
|---|
Record details
| NPI number | 1962400028 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mezia Azinge-Obasi — President/Ceo · (323) 290-2832 |
| Other names | San Gabriel Pediatrics, Inc. |
| NPI enumerated | July 12, 2005 |
| Last updated in NPPES | March 2, 2010 |
| Mailing address | 3450 W 43rd St, Suite 107, Los Angeles, CA 90008-4943 |
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