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PACIFIC COAST GASTROENTEROLOGY INC NPI 1356361166


NPI Information

NPI: 1356361166
Provider Name: PACIFIC COAST GASTROENTEROLOGY, INC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 05D2174772

Address:
18 ENDEAVOR
SUITE 204
IRVINE, CA
ZIP 92618
Phone: (949) 727-2035
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PACIFIC COAST GASTROENTEROLOGY, INC is a gastroenterology internal medicine in Irvine, 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. PACIFIC COAST GASTROENTEROLOGY, INC NPI is 1356361166. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18 ENDEAVOR
SUITE 204
IRVINE, CA
ZIP 92618-164
Phone: (949) 727-2035
Fax: (949) 727-2141

The provider's authorized official is David Jacob Kaufman .
The authorized official title is President and has the following contact phone number (949) 727-2035.

The CLIA number assigned to this NPI record is 05D2174772 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 1/28/2009.


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
1207RG0100XInternal MedicineGastroenterology20A8799CALIFORNIAYes

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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