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 101 Beverly Blvd. Suite 400, Montebello CA 90640. 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
101 Beverly Blvd. Suite 400
Montebello CA 90640
Phone: (213) 483-5940
Fax: (213) 483-9084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X |
Profile Details
| NPI number | 1609088863 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609088863 | NPPES |
| California | MEDICAID | GR0064560 |
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