| Gage Medical Center, Inc | |
|
2719 E Gage Ave Huntington Park CA 90255-4202 | |
| (323) 277-0272 | |
| Not Available |
| Full Name | Gage Medical Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2719 E Gage Ave, Huntington Park, California |
| Authorized Official Name and Position | Nagy F Khalil (OWNER) |
| Authorized Official Contact | 3232770272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gage Medical Center, Inc 2719 E Gage Ave Huntington Park CA 90255-4202 Ph: (323) 277-0272 | Gage Medical Center, Inc 2719 E Gage Ave Huntington Park CA 90255-4202 Ph: (323) 277-0272 |
| NPI Number | 1891904686 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5193767564 |
|---|---|
| Medicare Enrollment ID | O20050525000910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891904686 | NPI | - | NPPES |
| GR0083351 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nagy Khalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598784811 PECOS PAC ID: 6709828171 Enrollment ID: I20050526000462 |
| Provider Name | Ragaie L Hakim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104952084 PECOS PAC ID: 4981646353 Enrollment ID: I20050621001324 |
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