| NPI | 1013048461 |
|---|---|
| Doing Business As | GASTROENTEROLOGY DIAGNOSTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | FERNANDO IBARRA Authorized Official 626-872-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-01-15 |