Gastroenterology Specialists Medical Group, INC a Medical Corporation
NPI #1629170998 in Castro Valley, California
Provider Information
- NPI Number
- 1629170998
- Entity Type
- Organization
- Organization Name
- Gastroenterology Specialists Medical Group, INC a Medical Corporation
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Sep 5, 2006
- Last Updated
- Aug 1, 2022
Practice Location
- Address
- 19845 LAKE CHABOT RD
- Address 2
- SUITE 104
- City
- Castro Valley
- State
- California
- ZIP Code
- 94546-4055
- Phone
- (510) 537-4415
Authorized Official
- Name
- DR. WEI-FANG KO KO, M.D.
- Title
- PRESIDENT
- Phone
- (510) 537-4415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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