Gardens Regional Medical Center
Organization Active NPI Physician Assistant · Hawaiian Gardens, CA
NPI 1104099415 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1104099415
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA19699 (CA)
- Legal business name
- GARDENS REGIONAL MEDICAL CENTER
- Practice address
- 21520 Pioneer Blvd
Suite 204
Hawaiian Gardens, CA 90716-2603 - Phone
- (562) 402-9779
- Fax
- (562) 924-4086
- NPI assigned
- Apr 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Mathias A. Fobi, M.D.
- Title
- Bariatric Surgeon
- Phone
- (310) 617-4334
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | PA19699 | CA | Yes |
Addresses
Primary practice location
21520 Pioneer Blvd
Suite 204
Hawaiian Gardens, CA 90716-2603
Mailing address
21520 Pioneer Blvd
Suite 204
Hawaiian Gardens, CA 90716-2603
Phone (562) 402-9779
Other providers in Hawaiian Gardens, CA
- Jessica Foster
- Samantha Foster
- Richard A Fujita
- Yanet R. Gamboa
- Gardens Regional Hospital and Medical Center Inc
- Garfield Beach CVS LLC
- Gary Phillip Jacobs, M.D., Inc.
- Harjeet Ghotra
- Go Service Success LLC
- Alexandra-Grissell Gomez
All providers in Hawaiian Gardens, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.