Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Clinica Medica San Marcos Inc

Organization General Practice Physician · NPI 1679773840

Clinica Medica San Marcos Inc provides General Practice Physician services in South Gate, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3221 Liberty Blvd
South Gate, CA 90280-2315 Not confirmed with CMS for 13 years — call before visiting
Phone: (323) 566-9171
Fax: (323) 566-9178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X (CA)

Record details

NPI number1679773840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gustavo Roldan — Secretary · (323) 566-9171
NPI enumeratedJuly 24, 2007
Last updated in NPPESJanuary 10, 2013
Mailing address3221 Liberty Blvd, South Gate, CA 90280-2315

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