Healthcare Provider Details

I. General information

NPI: 1023979929
Provider Name (Legal Business Name): GEAL MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1141 W REDONDO BEACH BLVD STE 306
GARDENA CA
90247-3583
US

IV. Provider business mailing address

4803 HAYTER AVE
LAKEWOOD CA
90712-3510
US

V. Phone/Fax

Practice location:
  • Phone: 310-834-5388
  • Fax: 310-834-5619
Mailing address:
  • Phone: 562-607-1986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. GENEVIEVE ANGEL
Title or Position: MANAGING OWNER
Credential: NURSE PRACTITIONER
Phone: 562-607-1986