SAN GABRIEL PHYSICIANS SPECIALTY MEDICAL GROUP (NPI# 1306050463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306050463 |
| Entity Type | Organization |
| Organization Name | SAN GABRIEL PHYSICIANS SPECIALTY MEDICAL GROUP |
| Practice Address |
2411 Daly Street Los Angeles CA 90031 |
| Practice Telephone | 3232239931 |
| Practice Fax Number | 3232231229 |
| Mailing Telephone | 3232239931 |
| Mailing Fax Number | 3232231229 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARIA EUGENIA KHALATIAN (PEDIATRICIAN) |
| Authorized Official Telephone | 3232239931 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | A31083 | CA | Other Service Providers |
| Y | 173000000X | Legal Medicine | A33207 | CA | Other Service Providers |
| Street Address |
2411 DALY STREET |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247031 | James Han | Counselor | 2010 Lincoln Park Ave., Los Angeles, CA 90031 | 2017-07-12 |
| 1457712200 | Arturo Ibarra D.d.s. Inc | Dentist | 2407 North Broadway, Los Angeles, CA 90031 | 2016-03-08 |
| 1083081780 | Blair Evans James | Social Worker | 434 E Avenue 28 Ste 106, Los Angeles, CA 90031 | 2015-08-28 |
| 1538578133 | Si Xu | Acupuncturist | 2415 Pasadena Ave, Los Angeles, CA 90031 | 2014-08-07 |
| 1346583309 | Arlene Mary Juarez | Counselor | 2309 Daly Street, Masa Youth Center, Los Angeles, CA 90031 | 2013-03-28 |
| 1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
| 1033482476 | Eloisa Padilla | Social Worker | 2309 Daly St ., Los Angeles, CA 90031 | 2012-02-15 |
| 1851601975 | Edmond Hwan Kim | Acupuncturist | 330 W. Avenue 26, #328, Los Angeles, CA 90031 | 2010-10-08 |
| 1629209382 | Dante Almendral Md, A Medical Corporation | Ophthalmology | 2425 North Broadway St., Los Angeles, CA 90031 | 2009-07-29 |
| 1003044090 | Sindy K. Ramos | Counselor | 1721 Griffin Ave., Los Angeles, CA 90031 | 2009-06-29 |
| Find all providers in zip 90031 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609056639 | La Fe Medical Group | Legal Medicine | 3000 East 1st Street, Los Angeles, CA 90063-2807 | 2007-11-07 |
| 1174737142 | Maan M Kattash | Legal Medicine | 9201 W Sunset Blvd Ste 406, Los Angeles, CA 90069-3705 | 2007-05-09 |
| 1386792620 | Thomas Marten Shery | Legal Medicine | 11645 Wilshire Blvd Ste 800, Los Angeles, CA 90025-6811 | 2007-01-05 |
| 1104984137 | Beth Medical Clinic | Legal Medicine | 11126 S Main St, Los Angeles, CA 90061-1926 | 2006-12-04 |
| 1598771834 | Simon K Simonian | Legal Medicine | 7080 Hollywood Blvd Ste 919, Los Angeles, CA 90028-6936 | 2006-07-31 |
| 1528678588 | Edward A Alexander,md | Legal Medicine | 10940 Wilshire Blvd, Los Angeles, CA 90024-3915 | 2020-08-05 |
| 1104219609 | Total Care Medical Clinic Inc | Legal Medicine | 10024 S Vermont Ave, Los Angeles, CA 90044-3112 | 2015-03-09 |
| 1023360039 | Med-x Drug & Alcohol Testing Services | Legal Medicine | 11645 Wilshire Blvd, Suite 825, Los Angeles, CA 90025-1708 | 2012-10-15 |
| 1205126224 | Hooshang Tabibian Medical Corporation, Inc. | Legal Medicine | 11611 San Vicente Blvd, Ground Floor, Los Angeles, CA 90049-5106 | 2011-04-11 |
| 1760797740 | Amir Alex Tahbaz | Legal Medicine | 1200 N State St, Los Angeles, CA 90033-1029 | 2010-08-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90031 |
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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.