Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

San Martin De Porres Medical Clinic of South Gate, Inc

Organization General Practice Physician · NPI 1134298318

San Martin De Porres Medical Clinic of South Gate, Inc is a General Practice Physician in South Gate, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10001 California Ave
South Gate, CA 90280-6005
Phone: (323) 564-4408
Fax: (323) 564-9641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1134298318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ana Consiglieri — Supervisor · (323) 564-4408
NPI enumeratedNovember 6, 2006
Last updated in NPPESOctober 6, 2014
Mailing address10001 California Ave, South Gate, CA 90280-6005

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