| NPI | 1548041866 |
|---|---|
| Doing Business As | GATEWAY MEDICAL GROUP/ILSW ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | JONATHAN BURKET Chief Compliance Officer 818-666-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |