SAN GABRIEL PEDIATRICS MEDICAL CORPORATION
NPI 1962400028
Clinic/Center in Los Angeles, CA

Q: What is San Gabriel Pediatrics Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since July 12, 2005

3450 W 43RD ST, SUITE 107, LOS ANGELES, CA 90008(323) 290-2832(323) 290-2836 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About San Gabriel Pediatrics Medical Corporation NPPES

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

SAN GABRIEL PEDIATRICS MEDICAL CORPORATION (NPI 1962400028), doing business as San Gabriel Pediatrics, Inc., is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since July 2005. The organization lists Mezia Ogugua Azinge-obasi, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1962400028

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSAN GABRIEL PEDIATRICS MEDICAL CORPORATION

Location Address3450 W 43RD ST, SUITE 107Los Angeles, CA 90008-4943

Mailing Address3450 W 43rd St, Suite 107Los Angeles, CA 90008-4943 · (323) 290-2832 · Fax (323) 290-2836

Phone(323) 290-2832

Fax(323) 290-2836

Organization SubpartNo

Authorized OfficialMezia Ogugua Azinge-obasiPresident/ceo · (323) 290-2832

Enumeration DateJuly 12, 2005

Last NPPES UpdateMarch 2, 2010

✔ NPI 1962400028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in CA · A53449

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3450 W 43RD ST, Los Angeles, CA 90008

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Other Names 1

Former Legal Business NameSan Gabriel Pediatrics, Inc.

Other Identifiers 7

Medicaid00A534492CA

Medicare ID-Type UnspecifiedA53449BCA · Crenshaw

Medicaid00A534490CA

Medicaid00A534491CA

Medicare ID-Type UnspecifiedA53449CA · Rosemead

Medicare UPING13159CA

Medicare ID-Type UnspecifiedA53449ACA · Westchester

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 San Gabriel Pediatrics Medical Corporation's NPI number?

The NPI number for San Gabriel Pediatrics Medical Corporation is 1962400028. It was assigned to this organization in the NPPES registry on July 12, 2005. The provider was formerly known as San Gabriel Pediatrics, Inc..

Where is San Gabriel Pediatrics Medical Corporation located?

San Gabriel Pediatrics Medical Corporation is located at 3450 W 43rd St Suite 107, Los Angeles, CA 90008. The listed phone number is (323) 290-2832.

What is San Gabriel Pediatrics Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for San Gabriel Pediatrics Medical Corporation was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.