GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA


Address: 101 Beverly Blvd., Suite 400, Montebello, CA 90640
Phone: 2134835940

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).

Provider Overview

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

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
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

Office Location

Street Address 101 BEVERLY BLVD.
SUITE 400
City MONTEBELLO
State CA
Zip Code 90640

Providers in the same zip code

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
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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]

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1588286603 Tri Health Medical Institute Management Company LLC Clinic/Center 17777 Ventura Blvd Ste 100, Encino, CA 91316-3738 2020-05-12
1699394460 Bay Area Kidney Care Medical Group Inc. Clinic/Center 39370 Mozart Terrace Unit 106, Fremont, CA 94538 2020-04-13
1669007274 Hough Chiropractic Inc Clinic/Center 11770 Warner Ave Ste 122, Fountain Valley, CA 92708-2660 2020-03-04
1760017412 La Laser Center PC, A Professional Medical Corporation Clinic/Center 2409 Artesia Blvd, Redondo Beach, CA 90278-3207 2020-03-03
1316572068 La Laser Center PC, A Professional Medical Corporation Clinic/Center 1317 Main St Ste B, Delano, CA 93215-1737 2020-03-03
1588299234 La Laser Center PC, A Professional Medical Corporation Clinic/Center 20111 W Valley Blvd, Tehachapi, CA 93561-8747 2020-03-03
1003440884 La Laser Center PC, A Professional Medical Corporation Clinic/Center 300 Old River Rd Ste 120, Bakersfield, CA 93311-9512 2020-03-02
1083247795 La Laser Center PC, A Professional Medical Corporation Clinic/Center 1025 N Demaree St, Visalia, CA 93291-4117 2020-02-20
1780217489 La Laser Center PC, A Professional Medical Corporation Clinic/Center 621 W Line St Ste 105, Bishop, CA 93514-3320 2020-02-20
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Competitor

Search similar providers

City MONTEBELLO
Zip Code 90640

Improve Information

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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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