| NPI | 1629170998 |
|---|---|
| Former Legal Business Name | GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | WEI-FANG KO KO President 510-537-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-08-01 |