| Advanced Gastroenterology Of Monterey County Medical Corp | |
|
1441 Constitution Blvd Salinas CA 93906-3100 | |
| (831) 755-6352 | |
| (831) 755-6297 |
| Full Name | Advanced Gastroenterology Of Monterey County Medical Corp |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1441 Constitution Blvd, Salinas, California |
| Authorized Official Name and Position | Mumtaz Tabbaa (OWNER) |
| Authorized Official Contact | 8317556352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology Of Monterey County Medical Corp 395 Del Monte Center Ste 173 Monterey CA 93940-6156 Ph: (831) 755-6352 | Advanced Gastroenterology Of Monterey County Medical Corp 1441 Constitution Blvd Salinas CA 93906-3100 Ph: (831) 755-6352 |
| NPI Number | 1285780692 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 02/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285780692 | NPI | - | NPPES |
| 00A546880 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A54688 (California) | Primary |
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