| Coast Gastroenterology A Medical Group Inc | |
|
501 E Hardy St Suite 430 Inglewood CA 90301 | |
| (310) 680-6850 | |
| (310) 680-6855 |
| Full Name | Coast Gastroenterology A Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 E Hardy St, Inglewood, California |
| Authorized Official Name and Position | Cindy A Franks (OFFICE MANAGER) |
| Authorized Official Contact | 3106806850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Gastroenterology A Medical Group Inc 2501 Pesquera Dr Los Angeles CA 90049-1226 Ph: (310) 680-6850 | Coast Gastroenterology A Medical Group Inc 501 E Hardy St Suite 430 Inglewood CA 90301 Ph: (310) 680-6850 |
| NPI Number | 1427140144 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 3870683683 |
|---|---|
| Medicare Enrollment ID | O20071217000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427140144 | NPI | - | NPPES |
| GR0027410 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | James F Keefe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659332914 PECOS PAC ID: 2567487697 Enrollment ID: I20051007000711 |
| Provider Name | Steven Alan Lerner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518059237 PECOS PAC ID: 1456301944 Enrollment ID: I20090127000510 |
| Provider Name | Stephen Parnell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609968320 PECOS PAC ID: 3274583778 Enrollment ID: I20110128000725 |
| Provider Name | Mark Lott |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821192139 PECOS PAC ID: 2365492857 Enrollment ID: I20120402000356 |
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