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General NPI Number Information
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NPI Number | 1023979929
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Entity Type | Organization
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Legal Business Name | GEAL MEDICAL LLC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1141 W REDONDO BEACH BLVD STE 306
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City | GARDENA
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State | CA
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Zip | 90247-3583
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Country | US
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Telephone | 310-834-5388
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Fax | 310-834-5619
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Provider Business Mailing Address
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Address Line | 4803 HAYTER AVE
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City | LAKEWOOD
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State | CA
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Zip | 90712-3510
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Country | US
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Telephone | 562-607-1986
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Fax |
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | MS. GENEVIEVE ANGEL
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Credential | NURSE PRACTITIONER
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Telephone | 562-607-1986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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