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MMJ MEDICAL INC NPI 1871841692


NPI Information

NPI: 1871841692
Provider Name: MMJ MEDICAL INC,

Doing Business As: GASTROENTEROLOGY AND THERAPEUTIC ENDOSCOPY

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1810 FULLERTON AVE
SUITE 203
CORONA, CA
ZIP 92881
Phone: (951) 934-0505
Get Directions

MMJ MEDICAL INC, is a gastroenterology internal medicine in Corona, 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. MMJ MEDICAL INC, NPI is 1871841692. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gastroenterology And Therapeutic Endoscopy.

The provider's business location address is:

1810 FULLERTON AVE
SUITE 203
CORONA, CA
ZIP 92881
Phone: (951) 934-0505
Fax: (951) 934-0506

The provider's authorized official is Mohammad Mazen Jamal .
The authorized official title is Owner and has the following contact phone number (949) 813-5115.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 11/16/2012.


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 MedicineGastroenterologyA46078CALIFORNIAYes

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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