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

Gage Medical Clinic Inc

Organization Family Medicine Physician · NPI 1114053279

Gage Medical Clinic Inc provides Family Medicine Physician services in Pacoima, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
4
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

13563 Van Nuys Blvd
Pacoima, CA 91331-3029
Phone: (818) 890-5300
Fax: (818) 890-0880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A47748 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G29047 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence A67946 (CA)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1114053279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Odilia Walsh — Administrator · (562) 706-2433
Other names Pacoima Medical Center
NPI enumeratedFebruary 25, 2007
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 1, 2024
Mailing address13563 Van Nuys Blvd, Pacoima, CA 91331-3029

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