GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA


Address: 1701 Cesar Chavez Blvd., Suite 307, Los Angeles, CA 90033
Phone: 2134835940

GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA (NPI# 1457563629) 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) 1457563629
Entity Type Organization
Organization Name GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA
Practice Address 1701 Cesar Chavez Blvd.
Suite 307
Los Angeles
CA 90033
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0064560 05

Other Provider IDs and Locations

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
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

Office Location

Street Address 1701 CESAR CHAVEZ BLVD.
SUITE 307
City LOS ANGELES
State CA
Zip Code 90033

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376165050 Noa Yee Student in an Organized Health Care Education/Training Program 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 2020-05-15
1629690144 Monica Lopez Respiratory Therapist, Registered 1251 Marengo St, Los Angeles, CA 90033 2020-05-07
1649890401 Antonio Hernandez Saenz Student in an Organized Health Care Education/Training Program 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 2020-04-22
1417585100 Kelsey Grace Shea Student in an Organized Health Care Education/Training Program 1200 N State St Ird 112, Los Angeles, CA 90033 2020-03-30
1891322780 Carolyn Kan Student in an Organized Health Care Education/Training Program 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 2020-03-23
1902445786 Maury M Hopkins Registered Nurse 1883 Marengo Street, Los Angeles, CA 90033 2019-12-27
1982259792 Beverly Austin Mccabe Registered Nurse 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 2019-08-08
1093369399 Christine Yoon Pharmacist 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 2019-07-25
1073075339 Johanna Keller Student in an Organized Health Care Education/Training Program La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 2019-04-04
1386115137 Sonya Lorain Earley Physician Assistant 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 2018-12-05
Find all providers in zip 90033

Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740807213 Drmsh Corp Clinic/Center 2045 Thayer Ave, Los Angeles, CA 90025-5926 2020-07-01
1164805487 Medical Spa Retreat, Inc Clinic/Center 3523 W Olympic Blvd Fl 2, Los Angeles, CA 90019-3502 2015-07-06
1386022267 Barbara Roces Clinic/Center 349 S Orange Grove Ave, Los Angeles, CA 90036-3103 2015-05-12
1477803450 Childrens Hospital of Los Angeles Clinic/Center 4650 W Sunset Blvd # 61, Los Angeles, CA 90027-6062 2012-09-17
1114088267 Alexandr P. Ford, M.d. Clinic/Center 1125 S Beverly Dr Ste 700, Los Angeles, CA 90035-1148 2006-12-13
1487667002 Carl Lauryssen Md Prof Corp. Clinic/Center 8201 Beverly Blvd Ste 405, Los Angeles, CA 90048-4505 2006-08-14
1922019348 Seung M Lee Clinic/Center 2030-1 W Pico Blvd, Los Angeles, CA 90006-5011 2006-08-10
1679197123 Zp Medical Services, PC Clinic/Center 12121 Wilshire Blvd, Los Angeles, CA 90025-1123 2020-06-01
1538792247 La Laser Center PC, A Professional Medical Corporation Clinic/Center 10884 Santa Monica Blvd Fl 3, Los Angeles, CA 90025-7638 2020-02-20
1487185039 Ucla Mattel Children's Hospital Clinic/Center 300 Medical Plz, 3300, Los Angeles, CA 90095-0001 2017-03-24
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90033

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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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