Gage Medical Clinic Inc

NPI 1003053943 - Family Medicine - 207Q00000X

NPI Details
NPI 1003053943
Enumeration Date 01/14/2009
Last Updated 01/14/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RICHARD CHARLES RICHARD
Position PRESIDENT
Phone (714) 796-9200
Fax
Practice Location
1125 E. 17TH ST.
SUITE E 107
SANTA ANA CA, 92701-0000, US
Phone (714) 796-9200
Fax
Business Location
1125 E. 17TH ST.
SUITE E 107
SANTA ANA CA, 92701-0000, US
Phone (714) 796-9200
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G29047
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According to our database, Gage Medical Clinic Inc NPI is 1003053943, taxonomy code is 207Q00000X and license number is G29047, license state is located at California. Gage Medical Clinic Inc physically located at 1125 E. 17th St., Santa Ana CA, 92701-0000. NPI Number 1033115704 has the healthcare provider type.

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1003053943 NPI number is provided on an as is basis without warranty of any kind. 1003053943 is maintained by the National Plan & Provider Enumeration System. The contents of Gage Medical Clinic Inc are for informational purposes only.