GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA (NPI# 1275686818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275686818 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA |
| Practice 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 | 2007-01-18 |
| 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 | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| Street Address |
201 S ALVARADO ST SUITE 707 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700314 | St. Vincent Dialysis Center, Inc. | Clinic/Center | 201 S Alvarado St, Ste 220, Los Angeles, CA 90057-2388 | 2005-06-14 |
| 1417401548 | Elite Provider Urgent Care Network PC | Clinic/Center | 201 S Alvarado St, Ste 100, Los Angeles, CA 90057-2320 | 2016-08-05 |
| 1619316874 | Jiamin Hu | Optometrist | 201 S Alvarado St, Suite 500, Los Angeles, CA 90057-2320 | 2013-06-21 |
| 1801158589 | Amgi LLC | Clinic/Center | 201 S Alvarado St, Suite 407, Los Angeles, CA 90057-2320 | 2012-06-08 |
| 1932490166 | Dawn Kai Young | Nurse Practitioner | 201 S Alvarado St, Suite 100, Los Angeles, CA 90057-2320 | 2011-04-21 |
| 1225334360 | Keith Earl Kenyon Jr Md Inc | Ophthalmology | 201 S Alvarado St, Suite 406, Los Angeles, CA 90057-2320 | 2011-02-08 |
| 1437450624 | Wilfredo Linares Hernandez Md Inc | Obstetrics & Gynecology | 201 S Alvarado St, Suite 815, Los Angeles, CA 90057-2320 | 2010-11-04 |
| 1669772653 | Eliana Rojas | Nurse Practitioner | 201 S Alvarado St, Los Angeles, CA 90057-2320 | 2010-10-25 |
| 1164734158 | Samuel K. Lee, M.d., Inc. | Urology | 201 S Alvarado St, Suite 622, Los Angeles, CA 90057-2320 | 2010-07-08 |
| 1750611000 | Edward K Lew Dds Inc | Dentist | 201 S Alvarado St, Suite 115, Los Angeles, CA 90057-2320 | 2010-01-09 |
| Find all providers in the same location | ||||
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
| 1528571874 | Brelian Medical Inc. | Internal Medicine | 711 W College St Ste 203, Los Angeles, CA 90012-3177 | 2017-11-08 |
| 1487097119 | Jonathan S Pourmorady | Internal Medicine | 2080 Century Park E Ste 710, Los Angeles, CA 90067-2010 | 2013-04-11 |
| 1578806089 | David Alexanian | Internal Medicine | 1200 N State Street, Ct-a7d, Los Angeles, CA 90033 | 2013-04-03 |
| 1942597265 | Inpatient Gastroenterology Services, Inc. | Internal Medicine | 116 S Croft Ave, 301, Los Angeles, CA 90048-3448 | 2011-07-07 |
| 1609190354 | Alexander H Kim | Internal Medicine | 1828 E Cesar Chavez, Suite 6200, Los Angeles, CA 90033-2585 | 2010-03-24 |
| 1508008301 | Marvin Anton Perer | Internal Medicine | 2258 The Ter, Los Angeles, CA 90049-1171 | 2009-03-25 |
| 1285874990 | Hamed Nayeb-hashemi | Internal Medicine | 200 Med Plaza #365, 420, 120, Los Angeles, CA 90095-6082 | 2009-02-20 |
| 1952553380 | Andrew Heejoon Kim | Internal Medicine | 1414 S Grand Ave Ste 303, Los Angeles, CA 90015-3071 | 2008-10-16 |
| 1750533261 | Puja Vora Khanna | Internal Medicine | 110 N George Burns Rd, David Building D4063, Los Angeles, CA 90048-1830 | 2008-10-15 |
| 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.