SOUTHERN CALIFORNIA MEDICAL GASTROENTEROLOGY GROUP, INC


Address: 351 E Temple St, Los Angeles, CA 90012
Phone: 3108296789

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Gastroenterology Center of Los Angeles Doing Business As Name - Organization

Office Location

Street Address 351 E TEMPLE ST
City LOS ANGELES
State CA
Zip Code 90012

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LOS ANGELES
Zip Code 90012

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Dataset Information

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.

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