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 |