| NPI | 1689191611 |
|---|---|
| Doing Business As | GMA HEALTHCARE PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | CHARLES VINCENT PHILLIPS Owner 661-665-0505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208800000X Urology | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-10-30 |