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CLINICA MEDICA SAN MARCOS INC
NPI 1679773840
General Practice in South Gate, CA

Active since July 24, 2007
3221 LIBERTY BLVD, SOUTH GATE, CA 90280(323) 566-9171(323) 566-9178 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clinica Medica San Marcos Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA MEDICA SAN MARCOS INC (NPI 1679773840) is a healthcare organization registered as a general practice in South Gate, California and active in the NPI registry since July 2007. The organization lists Gustavo Roldan, Secretary, as its authorized official.

NPPES Registry Identity

NPI1679773840
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCLINICA MEDICA SAN MARCOS INC
Location Address3221 LIBERTY BLVDSouth Gate, CA 90280-2315
Mailing Address3221 Liberty BlvdSouth Gate, CA 90280-2315 · (323) 566-9171 · Fax (323) 566-9178
Phone(323) 566-9171
Fax(323) 566-9178
Organization SubpartNo
Authorized OfficialGustavo RoldanSecretary · (323) 566-9171
Enumeration DateJuly 24, 2007
Last NPPES UpdateJanuary 10, 2013
✔ NPI 1679773840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3221 LIBERTY BLVD, South Gate, CA 90280
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLINICA SAN MARCOS MEDICAL CENTER APC
General Practice
3221 LIBERTY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 566-9171
CLINICA MEDICA SAN MARCOS, INC
Clinic/Center (Primary Care)
3221 LIBERTY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 566-9171
GUSTAVO MARIO ROLDAN PAC
Physician Assistant
3221 LIBERTY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 566-9171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinica Medica San Marcos Inc's NPI number?

The NPI number for Clinica Medica San Marcos Inc is 1679773840. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Clinica Medica San Marcos Inc located?

Clinica Medica San Marcos Inc is located at 3221 Liberty Blvd, South Gate, CA 90280. The listed phone number is (323) 566-9171.

What is Clinica Medica San Marcos Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Clinica Medica San Marcos Inc was last updated on January 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.