GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA (NPI# 1609088863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609088863 |
Entity Type | Organization |
Organization Name | GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA |
Practice Address |
101 Beverly Blvd. Suite 400 Montebello CA 90640 |
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 |
---|---|---|---|---|
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 |
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 |
101 BEVERLY BLVD. SUITE 400 |
City | MONTEBELLO |
State | CA |
Zip Code | 90640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
Find all providers in zip 90640 |
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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Find all providers with the same taxonomy |
City | MONTEBELLO |
Zip Code | 90640 |
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.