Gastroenterology Diagnostic Center Medical Group, a Professional
NPI #1013048461 in Monterey Park, California
Provider Information
- NPI Number
- 1013048461
- Entity Type
- Organization
- Organization Name
- Gastroenterology Diagnostic Center Medical Group, a Professional
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Jan 15, 2020
Practice Location
- Address
- 880 S ATLANTIC BLVD
- Address 2
- SUITE G 10
- City
- Monterey Park
- State
- California
- ZIP Code
- 91754-4700
- Phone
- (626) 872-6261
Authorized Official
- Name
- FERNANDO IBARRA, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (626) 872-6261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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