GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA (NPI# 1235342916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235342916 |
Entity Type | Organization |
Organization Name | GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA |
Practice Address |
201 S. Alvarado St. Suite 828 Los Angeles CA 90057-2320 |
Mailing Address |
201 S. Alvarado St. Suite 707 Los Angeles CA 90057-2320 |
Practice Telephone | 2134835940 |
Mailing Telephone | 2134835940 |
Mailing Fax Number | 2134839084 |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MORDO SUCHOV (MANAGING PARTNER) |
Authorized Official Telephone | 2134835940 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0064560 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609088863 | Gastroenterology Associates of Southern California | Clinic/Center | 101 Beverly Blvd., Suite 400, Montebello, CA 90640 | 2007-05-03 |
1245442433 | Gastroenterology Associates of Southern California | Clinic/Center | 222w. Eulalia St., Suite 301, Glendale, CA 91204 | 2007-05-03 |
1457563629 | Gastroenterology Associates of Southern California | Clinic/Center | 1701 Cesar Chavez Blvd., Suite 307, Los Angeles, CA 90033 | 2007-05-03 |
1659583847 | Gastroenterology Associates of Southern California | Clinic/Center | 16311 Ventura Blvd., Suite 925, Encino, CA 98143 | 2007-05-03 |
1275686818 | Gastroenterology Associates of Southern California | Internal Medicine | 201 S Alvarado St, Suite 707, Los Angeles, CA 90057-2320 | 2007-01-18 |
Street Address |
201 S. ALVARADO ST. SUITE 828 |
City | LOS ANGELES |
State | CA |
Zip Code | 90057-2320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659414159 | Dong O Kim | Acupuncturist | 201 S. Alvarado St., Suite #609, Los Angeles, CA 90057-2320 | 2007-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
Find all providers in zip 90057 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1740807213 | Drmsh Corp | Clinic/Center | 2045 Thayer Ave, Los Angeles, CA 90025-5926 | 2020-07-01 |
1164805487 | Medical Spa Retreat, Inc | Clinic/Center | 3523 W Olympic Blvd Fl 2, Los Angeles, CA 90019-3502 | 2015-07-06 |
1386022267 | Barbara Roces | Clinic/Center | 349 S Orange Grove Ave, Los Angeles, CA 90036-3103 | 2015-05-12 |
1477803450 | Childrens Hospital of Los Angeles | Clinic/Center | 4650 W Sunset Blvd # 61, Los Angeles, CA 90027-6062 | 2012-09-17 |
1457563629 | Gastroenterology Associates of Southern California | Clinic/Center | 1701 Cesar Chavez Blvd., Suite 307, Los Angeles, CA 90033 | 2007-05-03 |
1114088267 | Alexandr P. Ford, M.d. | Clinic/Center | 1125 S Beverly Dr Ste 700, Los Angeles, CA 90035-1148 | 2006-12-13 |
1487667002 | Carl Lauryssen Md Prof Corp. | Clinic/Center | 8201 Beverly Blvd Ste 405, Los Angeles, CA 90048-4505 | 2006-08-14 |
1922019348 | Seung M Lee | Clinic/Center | 2030-1 W Pico Blvd, Los Angeles, CA 90006-5011 | 2006-08-10 |
1679197123 | Zp Medical Services, PC | Clinic/Center | 12121 Wilshire Blvd, Los Angeles, CA 90025-1123 | 2020-06-01 |
1538792247 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 10884 Santa Monica Blvd Fl 3, Los Angeles, CA 90025-7638 | 2020-02-20 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90057 |
Please comment or provide details below to improve the information on GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.