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SOUTHGATE MEDICAL CLINIC, P.S.

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Company Details

Legal Name: SOUTHGATE MEDICAL CLINIC, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Delinquent
Formation/ Registration Date: June 20th 1990
Expiration date: 30 Jun 2025
UBI Number: 601 257 491
ZIP code: 98118
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6044 ML KING JR WAY S, SUITE 104, SEATTLE, WA, 98118-3179, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $31,852

Contact Details

E-Mail: CESAR_SGMC@OUTLOOK.COM

Nature of Business

Any Lawful Purpose, Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ROBERTO A VELASCO JR MD Registered Agent 6044 ML KING JR WAY S STE 104, SEATTLE, WA, 98118-3179, UNITED STATES

Key Officers & Management

Name Role Address
ROBERTO VELASCO JR MD Governing Person 710 SW 337TH ST, FEDERAL WAY, WA, 98023, UNITED STATES
FE VELASCO Governing Person 710 SW 337TH ST, FEDERAL WAY, WA, 98023, UNITED STATES
CESAR CASTANEDA Governing Person 10619 NE 123RD ST, KIRKLAND, WA, 98034-3971, UNITED STATES

National Provider Identifier

NPI Number:
1285751990

Authorized Person:

Name:
DR. ROBERT ALFILER VELASCO JR.
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$64,581
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$64,581
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$65,163.11
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $64,581
Jobs Reported:
15
Initial Approval Amount:
$64,580
Date Approved:
2021-02-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$64,580
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$65,036.48
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $64,580
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