SOCAL GASTROENTEROLOGY CORP. NPI 1124770508

NPI Information

  • NPI: 1124770508
  • Provider Name: SOCAL GASTROENTEROLOGY CORP.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • CLIA Number: 05D2268585
  • Address: 10931 CHERRY ST STE 300
    LOS ALAMITOS, CA
    ZIP 90720
  • Phone: (562) 493-1011

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NPI Details

SOCAL GASTROENTEROLOGY CORP. is a gastroenterology internal medicine in Los Alamitos, 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. SOCAL GASTROENTEROLOGY CORP. NPI is 1124770508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10931 CHERRY ST STE 300
LOS ALAMITOS, CA
ZIP 90720-496
Phone: (562) 493-1011
Fax: (562) 594-9226

The provider's authorized official is Olivia Jaquez .
The authorized official title is Manager and has the following contact phone number (562) 493-1011.

The CLIA number assigned to this NPI record is 05D2268585 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/26/2022 and was last updated on 3/11/2022.

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 MedicineGastroenterologyYes

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: 11/21/2025

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