Maria Auxiliadora Medical Group
NPI #1104931112 in South Gate, California
Provider Information
- NPI Number
- 1104931112
- Entity Type
- Organization
- Organization Name
- Maria Auxiliadora Medical Group
- Primary Specialty
- General Practice
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 9401 LONG BEACH BLVD
- City
- South Gate
- State
- California
- ZIP Code
- 90280-4144
- Phone
- (323) 582-8612
Authorized Official
- Name
- GEORGE ZANELLI
- Title
- ADMINISTRATOR
- Phone
- (323) 582-8612
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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