| San Gabriel Clinic | |
|
3231 Waring Ct Ste B Oceanside CA 92056-4510 | |
| (760) 666-7405 | |
| (760) 666-7562 |
| Full Name | San Gabriel Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3231 Waring Ct Ste B, Oceanside, California |
| Authorized Official Name and Position | Evette Gabriel (MANAGER) |
| Authorized Official Contact | 7606667405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Gabriel Clinic 864 E Quincy Ave Fresno CA 93720-2107 Ph: (559) 917-8615 | San Gabriel Clinic 3231 Waring Ct Ste B Oceanside CA 92056-4510 Ph: (760) 666-7405 |
| NPI Number | 1659984078 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 06/15/2021 |
| Medicare PECOS PAC ID | 5092129692 |
|---|---|
| Medicare Enrollment ID | O20210121002514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659984078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | San Anwar F Gabriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922025857 PECOS PAC ID: 2668576521 Enrollment ID: I20070402000700 |
| Provider Name | Andrew S Gabriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669977740 PECOS PAC ID: 8820409584 Enrollment ID: I20210825003908 |
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