San Gabriel Physicians Specialty Medical Group
San Gabriel Physicians Specialty Medical Group provides Legal Medicine in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
2411 Daly StLos Angeles, CA 90031
Phone: (323) 223-9931
Fax: (323) 223-1229
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Specialties & licences
| Legal Medicine (primary) | Taxonomy 173000000X · Licence A33207 (CA) |
|---|---|
| Legal Medicine | Taxonomy 173000000X · Licence A31083 (CA) |
Record details
| NPI number | 1306050463 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maria Khalatian — Pediatrician · (323) 223-9931 |
| NPI enumerated | May 9, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2411 Daly Street, Los Angeles, CA 90031 |
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