GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA (NPI# 1245442433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245442433 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA |
| Practice Address |
222w. Eulalia St. Suite 301 Glendale CA 91204 |
| Mailing Address |
201 S. Alvarado St. Suite 707 Los Angeles CA 90057-2320 |
| Practice Telephone | 2134835940 |
| Practice Fax Number | 2134839084 |
| Mailing Telephone | 2134835940 |
| Mailing Fax Number | 2134839084 |
| Enumeration Date | 2007-05-03 |
| 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 |
| 1457563629 | Gastroenterology Associates of Southern California | Clinic/Center | 1701 Cesar Chavez Blvd., Suite 307, Los Angeles, CA 90033 | 2007-05-03 |
| 1235342916 | Gastroenterology Associates of Southern California | Clinic/Center | 201 S. Alvarado St., Suite 828, Los Angeles, CA 90057-2320 | 2007-05-08 |
| 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 |
222W. EULALIA ST. SUITE 301 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
| 1942570130 | Tyd Executive Medical Clinic | Clinic/Center | 411 N Central Ave Ste 305, Glendale, CA 91203-2020 | 2012-01-05 |
| 1760624449 | Queens Neurorehabilitation, PC | Clinic/Center | 8727 Myrtle Ave, Glendale, NY 11385-7847 | 2009-03-27 |
| 1154562379 | Serenity Sleep Laboratories Inc | Clinic/Center | 1141 N Brand Blvd Ste 201, Suite 201, Glendale, CA 91202-3647 | 2009-03-18 |
| 1073666269 | Dimitrios P Bousounis Md | Clinic/Center | 200 W Silver Spring Dr Ste 255, Glendale, WI 53217-5058 | 2007-01-19 |
| 1588270730 | Pediatric Sedation of Arizona | Clinic/Center | 20100 N 51st Ave Ste B220, Glendale, AZ 85308-5145 | 2020-09-22 |
| 1184237877 | Sudeep Punia Md PC | Clinic/Center | 7330 N 99th Ave Ste 205, Glendale, AZ 85307-3018 | 2020-08-24 |
| 1699289660 | Alexander G Gevorgyan Md Inc | Clinic/Center | 1332 S Glendale Ave, Glendale, CA 91205-3349 | 2017-11-28 |
| 1396266870 | Teni Minaeian Chiropractic Inc | Clinic/Center | 1451 E Chevy Chase Dr Ste 201, Glendale, CA 91206-4056 | 2017-07-05 |
| 1508309089 | Acupuncture Help Center Inc. | Clinic/Center | 411 N Central Ave, 610, Glendale, CA 91203-2081 | 2016-11-30 |
| Find all providers in GLENDALE | ||||
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| 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.