| California Gastroenterology, A Medical Corporation | |
|
3108 Ponte Morino Dr Suite 230 Cameron Park CA 95682-8278 | |
| (530) 672-2701 | |
| Not Available |
| Full Name | California Gastroenterology, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3108 Ponte Morino Dr, Cameron Park, California |
| Authorized Official Name and Position | Russell F. Jacoby (PRESIDENT) |
| Authorized Official Contact | 5306722701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Gastroenterology, A Medical Corporation 3108 Ponte Morino Dr Suite 230 Cameron Park CA 95682-8278 Ph: (530) 672-2701 | California Gastroenterology, A Medical Corporation 3108 Ponte Morino Dr Suite 230 Cameron Park CA 95682-8278 Ph: (530) 672-2701 |
| NPI Number | 1578736138 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578736138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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