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GASTROENTEROLOGY MEDICAL OF LOS ANGELES INC NPI 1528459385


NPI Information

NPI: 1528459385
Provider Name: GASTROENTEROLOGY MEDICAL OF LOS ANGELES INC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 05D2117533

Address:
850 S ATLANTIC BLVD
SUITE 101
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 284-1350
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GASTROENTEROLOGY MEDICAL OF LOS ANGELES INC is a gastroenterology internal medicine in Monterey Park, 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. GASTROENTEROLOGY MEDICAL OF LOS ANGELES INC NPI is 1528459385. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

850 S ATLANTIC BLVD
SUITE 101
MONTEREY PARK, CA
ZIP 91754-700
Phone: (626) 284-1350
Fax: (626) 284-2454

The provider's authorized official is Fernando Ibarra .
The authorized official title is Owner/president and has the following contact phone number (626) 284-1350.

The CLIA number assigned to this NPI record is 05D2117533 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/13/2015 and was last updated on 12/7/2020.


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 MedicineGastroenterologyA38493CALIFORNIAYes

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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