Gastroenterology Associates Of Southern California

LBN: Gastroenterology Associates Of Southern California
Gastroenterology Associates Of Southern California is an health care organization with primary practice located at 1701 Cesar Chavez Blvd. Suite 307, Los Angeles CA 90033. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Gastroenterology Associates Of Southern California can be contacted via phone (213) 483-5940, or through Suchov, Mordo via phone (213) 483-5940.

Contact Information

Primary practice address
1701 Cesar Chavez Blvd. Suite 307 Los Angeles CA 90033
Fax: (213) 483-9084
Website:
Authorized official contact:
Name: Suchov, Mordo Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1457563629
LBN Legal business name Gastroenterology Associates Of Southern California
DBA Doing business as
Authorized official Suchov, Mordo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457563629 NPPES
California MEDICAID GR0064560

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