GOLDEN EAGLE MEDICAL NETWORK (NPI# 1073879557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073879557 |
| Entity Type | Organization |
| Organization Name | GOLDEN EAGLE MEDICAL NETWORK |
| Other Organization Name | CLINICA MEDICA SAN PEDRO NETWORK |
| Practice Address |
9739 California Ave South Gate CA 90280-4609 |
| Practice Telephone | 3235662222 |
| Practice Fax Number | 3235672222 |
| Mailing Telephone | 3235662222 |
| Mailing Fax Number | 3235672222 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |
| Authorized Official Name | JACINTO LAM (PRESIDENT) |
| Authorized Official Telephone | 3235662222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A 39722 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CLINICA MEDICA SAN PEDRO NETWORK | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255697736 | Golden Eagle Medical Network | Obstetrics & Gynecology | 1025 N Willow Ave, La Puente, CA 91746-1617 | 2012-04-09 |
| 1457617938 | Golden Eagle Medical Network | Obstetrics & Gynecology | 11725 E. Garvey Ave, Ste 5b, El Monte, CA 91732-0000 | 2012-04-09 |
| 1336405810 | Golden Eagle Medical Network | Obstetrics & Gynecology | 13939 San Antonio Drive, Norwalk, CA 90650-4036 | 2012-04-09 |
| Street Address |
9739 CALIFORNIA AVE |
| City | SOUTH GATE |
| State | CA |
| Zip Code | 90280-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225236730 | Chapel Medical Clinic | Family Medicine | 9739 California Ave, South Gate, CA 90280-4609 | 2007-07-05 |
| 1801124383 | Gilberto Gutierrez | Physician Assistant | 9739 California Ave, South Gate, CA 90280-4609 | 2009-11-22 |
| 1275763088 | Clinica Medica San Pedro of California Inc | Obstetrics & Gynecology | 9739 California Ave, South Gate, CA 90280-4609 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989758 | Downey Family Cosmetic Dentistry | Clinic/Center | 9212 Lakewood Blvd, Downey, CA 90280 | 2018-04-17 |
| 1720529936 | Carewest Non-emergency Services, LLC | Non-emergency Medical Transport (VAN) | 10423 Atlantic Ave, South Gate, CA 90280 | 2017-03-20 |
| 1669844593 | Consumerhealth, Inc. | Dentist | 9918 Atlantic Aveneue, South Gate, CA 90280 | 2015-10-30 |
| 1366810988 | T & T Care Inc | Pharmacy | 8330 Long Beach Blvd Ste 112, South Gate, CA 90280 | 2015-09-14 |
| 1831579234 | Mariana Silva | Licensed Psychiatric Technician | 8160 Victoria Ave. Apt. A, South Gate, CA 90280 | 2015-06-02 |
| 1417396060 | Compatior, Inc. | Community/Behavioral Health | 4363 Tweedy Blvd, South Gate, CA 90280 | 2013-06-17 |
| 1508158197 | Eddy Ang | Family Medicine | 8627 Atlantic Ave, South Gate, CA 90280 | 2011-05-13 |
| 1750528691 | Herbert Perez | Dental Assistant | 4149 Tweey Blvd #j, South Gate, CA 90280 | 2009-01-14 |
| 1962615773 | Harold Edward Potts | Chiropractor | 10010 California Ave., South Gate, CA 90280 | 2007-05-08 |
| 1821113507 | Magdy F Tadros | Dentist | 3173 Tweedy Blvd, South Gate, CA 90280 | 2007-03-20 |
| Find all providers in zip 90280 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134208853 | Jorge Francisco Carreon | Obstetrics & Gynecology | 4500 Tweedy Blvd, South Gate, CA 90280 | 2006-11-03 |
| 1386981967 | Sreedhar Chava Md Inc | Obstetrics & Gynecology | 8401 Long Beach Blvd, South Gate, CA 90280-2014 | 2013-01-15 |
| 1720366644 | Jorge Carreon, M.d., Inc. | Obstetrics & Gynecology | 4500 Tweedy Blvd, South Gate, CA 90280-6334 | 2011-07-26 |
| 1275763088 | Clinica Medica San Pedro of California Inc | Obstetrics & Gynecology | 9739 California Ave, South Gate, CA 90280-4609 | 2009-07-15 |
| 1093907578 | Santa Maria Women & Children Medical Clinic, Inc | Obstetrics & Gynecology | 8401 Long Beach Blvd, South Gate, CA 90280-2014 | 2007-08-17 |
| 1881894715 | Dmitriy Romanenko | Obstetrics & Gynecology | 5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH GATE |
| Zip Code | 90280 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.