L G Gatus Medical Group Inc | |
531 N Larchmont Blvd Los Angeles CA 90004-1305 | |
(323) 462-7574 | |
(323) 462-7156 |
Full Name | L G Gatus Medical Group Inc |
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Speciality | General Practice |
Location | 531 N Larchmont Blvd, Los Angeles, California |
Authorized Official Name and Position | Leandro Gatus (PRESIDENT) |
Authorized Official Contact | 3234627574 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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L G Gatus Medical Group Inc 531 N Larchmont Blvd Los Angeles CA 90004-1305 Ph: (323) 462-7574 | L G Gatus Medical Group Inc 531 N Larchmont Blvd Los Angeles CA 90004-1305 Ph: (323) 462-7574 |
NPI Number | 1871815043 |
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Provider Enumeration Date | 02/15/2010 |
Last Update Date | 05/07/2010 |
Identifier | Type | State | Issuer |
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1871815043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | A45231 (California) | Secondary |
208D00000X | General Practice | A45231 (California) | Primary |
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