My Gastro Wellness. LLC
NPI #1003685249 in Canoga Park, California
Provider Information
- NPI Number
- 1003685249
- Entity Type
- Organization
- Organization Name
- My Gastro Wellness. LLC
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Dec 28, 2023
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 22110 ROSCOE BLVD
- Address 2
- SUITE 201
- City
- Canoga Park
- State
- California
- ZIP Code
- 91304-3861
- Phone
- (747) 204-4177
Authorized Official
- Name
- MISS NORMA SIMMONS
- Title
- MANAGER
- Phone
- (805) 996-0456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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