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Search › California › 106H00000X

Gage Henderson

NPI 1205316155 · on the registry since 2018 · sole proprietor

Practice

Address
1907 Boys Republic Dr
Chino Hills, CA 91709
Phone
(909) 628-1217
Organisation at this address
Boys Republic
Boys Republic
Mind Care Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
89

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California