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

Southgate Medical Clinic, P.s.

Organization Primary Care Clinic/Center · NPI 1336254051

Southgate Medical Clinic, P.s. is a Primary Care Clinic/Center in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

6044 Martin Luther King Jr Way S Ste 104
Seattle, WA 98118-3179
Phone: (206) 723-9853
Fax: (206) 723-0849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence MD00022120 (WA)

Record details

NPI number1336254051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberto Velasco — Medical Provider/Owner · (206) 723-9853
NPI enumeratedAugust 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6044 Martin Luther King Jr Way S Ste 104, Seattle, WA 98118-3179

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