Healthcare Provider Details

I. General information

NPI: 1457596371
Provider Name (Legal Business Name): ALLSAFE MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2008
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8077 FLORENCE AVE STE 112
DOWNEY CA
90240-3894
US

IV. Provider business mailing address

8077 FLORENCE AVE STE 112
DOWNEY CA
90240-3894
US

V. Phone/Fax

Practice location:
  • Phone: 562-904-6031
  • Fax:
Mailing address:
  • Phone: 562-904-6031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA96862
License Number StateCA

VIII. Authorized Official

Name: VILMA A GUTIERREZ
Title or Position: SUPERVISOR
Credential:
Phone: 562-904-6031