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
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 - GastroenterologyGastroenterology

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