San Gabriel Pediatrics, Inc.
LBN: San Gabriel Pediatrics Medical Corporation
San Gabriel Pediatrics, Inc. is an health care organization with primary practice located at 3450 W 43Rd St Suite 107, Los Angeles CA 90008-4943. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
San Gabriel Pediatrics Medical Corporation can be contacted via phone (323) 290-2832, or through Azinge-Obasi, Mezia Ogugua via phone (323) 290-2832.
Contact Information
Primary practice address
3450 W 43Rd St Suite 107
Los Angeles CA 90008-4943
Phone: (323) 290-2832
Fax: (323) 290-2836
Website:
Authorized official contact:
Name: Azinge-Obasi, Mezia Ogugua Doctor of Medicine (MD)
Phone: (323) 290-2832
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | A53449 | California |
Profile Details
| NPI number | 1962400028 |
|---|---|
| LBN Legal business name | San Gabriel Pediatrics Medical Corporation |
| DBA Doing business as | San Gabriel Pediatrics, Inc. |
| Authorized official | Azinge-Obasi, Mezia Ogugua Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Mar 2nd, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962400028 | NPPES |
| California | MEDICAID | 00A534492 | |
| California | MEDICAID | 00A534491 | |
| California | MEDICAID | 00A534490 |
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