SOUTHERN CALIFORNIA LIVER AND GI CENTER NPI 1346790870

NPI Information

NPI: 1346790870
Provider Name: SOUTHERN CALIFORNIA LIVER AND GI CENTER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 05D1089853

Address:
468 GIBSON AVE
PACIFIC GROVE, CA
ZIP 93950
Phone: (619) 840-2720
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SOUTHERN CALIFORNIA LIVER AND GI CENTER is a family nurse practitioner in Pacific Grove, CA. SOUTHERN CALIFORNIA LIVER AND GI CENTER NPI is 1346790870. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

468 GIBSON AVE
PACIFIC GROVE, CA
ZIP 93950-416
Phone: (619) 840-2720

The provider's authorized official is Tarek Hassanein .
The authorized official title is Medical Director and has the following contact phone number (619) 522-0399.

The CLIA number assigned to this NPI record is 05D1089853 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 10/7/2016.

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
1	363LF0000X	Nurse Practitioner	Family	11999	CALIFORNIA	Yes

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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