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SOUTHERN CALIFORNIA LIVER CENTERS INC NPI 1871633099


NPI Information

NPI: 1871633099
Provider Name: SOUTHERN CALIFORNIA LIVER CENTERS INC
Classification: Internal Medicine - 207RI0008X
Entity Type: Organization

Specialization: Hepatology

CLIA Number: 05D2048744

Address:
131 ORANGE AVE STE 101
CORONADO, CA
ZIP 92118
Phone: (619) 522-0399
Get Directions

SOUTHERN CALIFORNIA LIVER CENTERS INC is a hepatology internal medicine in Coronado, CA. The provider is the discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. SOUTHERN CALIFORNIA LIVER CENTERS INC NPI is 1871633099. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

131 ORANGE AVE STE 101
CORONADO, CA
ZIP 92118-408
Phone: (619) 522-0399

The provider's authorized official is Tarek Hassanein .
The authorized official title is President and has the following contact phone number (619) 964-9649.

The CLIA number assigned to this NPI record is 05D2048744 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 5/3/2018.


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 MedicineGastroenterologyNo
2207RI0008XInternal MedicineHepatologyA54452CALIFORNIAYes

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
100A544520MEDICAIDCALIFORNIA

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: 11/14/2023

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