SOUTHERN CALIFORNIA MEDICAL GASTROENTEROLOGY GROUP, INC (NPI# 1093800492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093800492 |
Entity Type | Organization |
Organization Name | SOUTHERN CALIFORNIA MEDICAL GASTROENTEROLOGY GROUP, INC |
Other Organization Name | GASTROENTEROLOGY CENTER OF LOS ANGELES |
Practice Address |
351 E Temple St Los Angeles CA 90012 |
Mailing Address |
1301 20th Street Ste 280 Santa Monica CA 90404 |
Practice Telephone | 3108296789 |
Mailing Telephone | 3108296789 |
Mailing Fax Number | 3103150195 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. RICHARD F CORLIN (SECRETARY) |
Authorized Official Telephone | 3108296789 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Gastroenterology Center of Los Angeles | Doing Business As Name - Organization |
Street Address |
351 E TEMPLE ST |
City | LOS ANGELES |
State | CA |
Zip Code | 90012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396793428 | West Los Angeles Vamc | Department of Veterans Affairs (VA) Pharmacy | 351 E Temple St, Los Angeles, CA 90012-3328 | 2006-05-04 |
1962015453 | Jared Rensberger | Clinical Neuropsychologist | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-08-25 |
1235740754 | Evelyn Perla Gomez | Social Worker | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-08-10 |
1831713973 | Kirstie Victoria Gilmer | Social Worker | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-06-04 |
1932720612 | Raul Barragan | Social Worker | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-05-04 |
1992331110 | Kelly Leigh Leong | Optometrist | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-03-19 |
1861028052 | David Baek | Registered Nurse | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-03-19 |
1982236691 | Radhika Nilesh Patel | Student in an Organized Health Care Education/Training Program | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-02-10 |
1326683822 | Katherine Dautenhahn | Psychologist | 351 E Temple St, Los Angeles, CA 90012-3328 | 2019-11-08 |
1750936761 | Johana Vega | Social Worker | 351 E Temple St, Los Angeles, CA 90012-3328 | 2019-08-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
Find all providers in zip 90012 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
1659926327 | Westside Anesthesia Group A Medical Corporation | Clinic/Center | 1964 Westwood Blvd Ste 436, Los Angeles, CA 90025-4695 | 2019-08-08 |
1558832741 | Grand Avenue Surgery Center, LLC | Clinic/Center | 1513 S Grand Ave Ste 350, Los Angeles, CA 90015-3075 | 2018-12-16 |
1700351194 | Integrative Surgical Associates Group, LLC. | Clinic/Center | 5757 Wilshire Blvd # P2, Los Angeles, CA 90036-5810 | 2018-10-11 |
1982180782 | Robertson Surgery Center Inc. | Clinic/Center | 822 S Robertson Blvd Ste 100b, Los Angeles, CA 90035-1613 | 2018-07-14 |
1972055382 | Alliance Surgery Partners, LLC | Clinic/Center | 1828 E Cesar Chavez Ave, Los Angeles, CA 90033-2424 | 2016-11-02 |
1164895744 | Los Angeles Ambulatory Surgery Center LLC | Clinic/Center | 266 S Harvard Blvd Ste 200, Los Angeles, CA 90004-4339 | 2015-11-04 |
1255752747 | Elite Surgery Center of Beverly Hills | Clinic/Center | 6310 San Vicente Blvd Ste 101b, Los Angeles, CA 90048-5498 | 2013-12-30 |
1942548003 | Sierra Surgical Services, LLC | Clinic/Center | 2202 S Figueroa St # 6601, Los Angeles, CA 90007-2049 | 2013-01-24 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90012 |
Please comment or provide details below to improve the information on SOUTHERN CALIFORNIA MEDICAL GASTROENTEROLOGY GROUP, INC.
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.