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Gateway Comprehensive Medical Group

Legal Medicine in San Diego, CA. Organization (NPI-2).

NPI number1376834077
StatusActive
Last updated in NPPESApr 28, 2011

Details

NPI
1376834077
Entity type
Organization (NPI-2)
Legal business name
Gateway Comprehensive Medical Group
Organization subpart
No
Enumeration date
Apr 28, 2011
Last updated
Apr 28, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
173000000X Legal MedicineA54452CAYes

Practice location

995 Gateway Center Way Ste 105
San Diego, CA 92102-4544

Phone 619-264-1934

Mailing address

Po Box 181770
Coronado, CA 92178-1770

Phone 619-264-1934

Authorized official

Tarek I Hassanein
MD
6192641934

Is something wrong?

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