ASSOCIATED GASTROENTEROLOGY MEDICAL GROUP NPI 1326044967

NPI Information

  • NPI: 1326044967
  • Provider Name: ASSOCIATED GASTROENTEROLOGY MEDICAL GROUP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 05D0582203
  • Address: 1211 W LA PALMA AVE
    STE 306
    ANAHEIM, CA
    ZIP 92801
  • Phone: (714) 778-1300

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NPI Details

ASSOCIATED GASTROENTEROLOGY MEDICAL GROUP is a specialist in Anaheim, 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. ASSOCIATED GASTROENTEROLOGY MEDICAL GROUP NPI is 1326044967. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1211 W LA PALMA AVE
STE 306
ANAHEIM, CA
ZIP 92801-811
Phone: (714) 778-1300
Fax: (714) 778-0303

The provider's authorized official is Teri Hall .
The authorized official title is Office Manager and has the following contact phone number (714) 778-1300.

The CLIA number assigned to this NPI record is 05D0582203 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 8/18/2010.

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
1174400000XSpecialistYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ83646ZMEDICAIDCALIFORNIA
2W2945MEDICARE PINCALIFORNIA
3W2945AMEDICARE 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: 3/30/2025

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