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SAN BERNARDINO GASTROENTEROLOGY ASSOCIATES INC. NPI 1265982375


NPI Information

NPI: 1265982375
Provider Name: SAN BERNARDINO GASTROENTEROLOGY ASSOCIATES INC.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 05D2170603

Address:
375 TERRACINA BLVD
REDLANDS, CA
ZIP 92373
Phone: (909) 644-4063
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SAN BERNARDINO GASTROENTEROLOGY ASSOCIATES INC. is a gastroenterology internal medicine in Redlands, CA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. SAN BERNARDINO GASTROENTEROLOGY ASSOCIATES INC. NPI is 1265982375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

375 TERRACINA BLVD
REDLANDS, CA
ZIP 92373-801
Phone: (909) 644-4063
Fax: (909) 335-1911

The provider's authorized official is Kumararvelu Balasubramaniam .
The authorized official title is Owner and has the following contact phone number (909) 881-3032.

The CLIA number assigned to this NPI record is 05D2170603 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyA447160Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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