| Advanced Gi Consultants Medical Group, Inc. | |
|
4314 W Victory Blvd Burbank CA 91505-1334 | |
| (818) 845-1854 | |
| (626) 289-5686 |
| Full Name | Advanced Gi Consultants Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4314 W Victory Blvd, Burbank, California |
| Authorized Official Name and Position | Yeong An Sheu (PRESIDENT) |
| Authorized Official Contact | 8183990556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gi Consultants Medical Group, Inc. 4314 W Victory Blvd Burbank CA 91505-1334 Ph: (818) 845-1854 | Advanced Gi Consultants Medical Group, Inc. 4314 W Victory Blvd Burbank CA 91505-1334 Ph: (818) 845-1854 |
| NPI Number | 1558448795 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/18/2012 |
| Medicare PECOS PAC ID | 6507813300 |
|---|---|
| Medicare Enrollment ID | O20050404001096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558448795 | NPI | - | NPPES |
| 00A722170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A72217 (California) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | A72217 (California) | Primary |
| Provider Name | Yeong An Sheu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700865177 PECOS PAC ID: 0143277947 Enrollment ID: I20050405000373 |
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