| NPI | 1568400455 |
|---|---|
| Former Legal Business Name | GATEWAY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RONALD D SANZONE President 619-527-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA W13278) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2009-08-19 |