California Gastroenterology, a Medical Corporation
NPI #1578736138 in Cameron Park, California
Provider Information
- NPI Number
- 1578736138
- Entity Type
- Organization
- Organization Name
- California Gastroenterology, a Medical Corporation
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Apr 3, 2008
- Last Updated
- Apr 3, 2008
Practice Location
- Address
- 3108 PONTE MORINO DR
- Address 2
- SUITE 230
- City
- Cameron Park
- State
- California
- ZIP Code
- 95682-8278
- Phone
- (530) 672-2701
Authorized Official
- Name
- RUSSELL F. JACOBY, M.D.
- Title
- PRESIDENT
- Phone
- (530) 672-2701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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