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VALLEY GASTROENTEROLOGY MEDICAL GROUP NPI 1497711410


NPI Information

NPI: 1497711410
Provider Name: VALLEY GASTROENTEROLOGY MEDICAL GROUP
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 05D0557509

Address:
7301 MEDICAL CENTER DR
SUITE 201
WEST HILLS, CA
ZIP 91307
Phone: (818) 346-9911
Get Directions

VALLEY GASTROENTEROLOGY MEDICAL GROUP is a gastroenterology internal medicine in West Hills, 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. VALLEY GASTROENTEROLOGY MEDICAL GROUP NPI is 1497711410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7301 MEDICAL CENTER DR
SUITE 201
WEST HILLS, CA
ZIP 91307-904
Phone: (818) 346-9911
Fax: (818) 346-2857

The provider's authorized official is Judy C Holley .
The authorized official title is Office Manager and has the following contact phone number (818) 346-9911.

The CLIA number assigned to this NPI record is 05D0557509 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W3342MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2W3342AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3=========OTHERCALIFORNIAEIN#

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: 4/28/2024

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