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WEST GASTROENTEROLOGY MEDICAL GROUP NPI 1912136987


NPI Information

NPI: 1912136987
Provider Name: WEST GASTROENTEROLOGY MEDICAL GROUP

Doing Business As: WEST GASTROENTROLOGY MEDICAL GROUP

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D1079437

Address:
25405 HANCOCK AVE
SUITE 210
MURRIETA, CA
ZIP 92562
Phone: (310) 674-0144
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WEST GASTROENTEROLOGY MEDICAL GROUP is a specialist in Murrieta, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WEST GASTROENTEROLOGY MEDICAL GROUP NPI is 1912136987. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Gastroentrology Medical Group.

The provider's business location address is:

25405 HANCOCK AVE
SUITE 210
MURRIETA, CA
ZIP 92562-982
Phone: (310) 674-0144
Fax: (310) 674-1704

The provider's authorized official is Adebambo Oladele Ojuri .
The authorized official title is Partner and has the following contact phone number (310) 674-0144.

The CLIA number assigned to this NPI record is 05D1079437 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/10/2009 and was last updated on 7/10/2009.


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
1174400000XSpecialistA46336CALIFORNIAYes

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
19516770125OTHERCALIFORNIATEL. NUMBER
2W3492MEDICARE PINCALIFORNIA

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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