| Coastal View Gastroenterology Of South Bay, Inc. | |
|
3440 Lomita Blvd Ste 420 Torrance CA 90505-4829 | |
| (424) 250-9186 | |
| (323) 300-2021 |
| Full Name | Coastal View Gastroenterology Of South Bay, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3440 Lomita Blvd Ste 420, Torrance, California |
| Authorized Official Name and Position | Sutha Sachar (PRESIDENT/OWNER/CEO) |
| Authorized Official Contact | 3105600695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal View Gastroenterology Of South Bay, Inc. 3440 Lomita Blvd Ste 420 Torrance CA 90505-4829 Ph: (424) 250-9186 | Coastal View Gastroenterology Of South Bay, Inc. 3440 Lomita Blvd Ste 420 Torrance CA 90505-4829 Ph: (424) 250-9186 |
| NPI Number | 1922420983 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 0840553624 |
|---|---|
| Medicare Enrollment ID | O20180409000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922420983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A85817 (California) | Primary |
| 261Q00000X | Clinic/center | A85817 (California) | Secondary |
| Provider Name | Sutha Sachar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033181573 PECOS PAC ID: 1759324148 Enrollment ID: I20120315000360 |
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