| Maria Auxiliadora Medical Group | |
|
9401 Long Beach Blvd South Gate CA 90280-4144 | |
| (323) 582-8612 | |
| (323) 567-9784 |
| Full Name | Maria Auxiliadora Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 9401 Long Beach Blvd, South Gate, California |
| Authorized Official Name and Position | George Zanelli (ADMINISTRATOR) |
| Authorized Official Contact | 3235828612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Auxiliadora Medical Group Po Box 717 South Gate CA 90280-0717 Ph: (323) 582-8612 | Maria Auxiliadora Medical Group 9401 Long Beach Blvd South Gate CA 90280-4144 Ph: (323) 582-8612 |
| NPI Number | 1104931112 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104931112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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