| Comprehensive Gi Care, A Professional Medical Group, Inc. | |
|
4772 Katella Ave #200 Los Alamitos CA 90720-2683 | |
| (562) 596-5552 | |
| (562) 596-5340 |
| Full Name | Comprehensive Gi Care, A Professional Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4772 Katella Ave, Los Alamitos, California |
| Authorized Official Name and Position | Lisa Hertz (PRESIDENT) |
| Authorized Official Contact | 5625965552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Gi Care, A Professional Medical Group, Inc. 4772 Katella Ave #200 Los Alamitos CA 90720-2683 Ph: (562) 596-5552 | Comprehensive Gi Care, A Professional Medical Group, Inc. 4772 Katella Ave #200 Los Alamitos CA 90720-2683 Ph: (562) 596-5552 |
| NPI Number | 1952564965 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 02/01/2017 |
| Medicare PECOS PAC ID | 7810942000 |
|---|---|
| Medicare Enrollment ID | O20050321000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952564965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Lisa Hertz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639237720 PECOS PAC ID: 1052350915 Enrollment ID: I20050502000315 |
| Provider Name | Kashyap Harshad Trivedi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649307356 PECOS PAC ID: 6305030107 Enrollment ID: I20101104001262 |
| Provider Name | Pavan Mankal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760777320 PECOS PAC ID: 2567735327 Enrollment ID: I20170830002615 |
Ghulam Y Dostzada Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5300 Katella Ave, Los Alamitos, CA 90720 Phone: 562-799-0383 | |
Charles M Maples Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Katella Ave, Suite 110, Los Alamitos, CA 90720 Phone: 562-430-6850 Fax: 562-280-2882 | |
Socal Gastroenterology Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10931 Cherry St Ste 300, Los Alamitos, CA 90720 Phone: 562-493-1011 Fax: 562-594-9226 | |
Prohealth Partners, A Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3791 Katella Ave Ste 101, Los Alamitos, CA 90720 Phone: 562-446-0580 | |
Alexandra A Chrysanthis M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10861 Cherry St # 210, Los Alamitos, CA 90720 Phone: 562-795-6406 Fax: 562-795-6409 | |
Cancer And Blood Specialty Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3851 Katella Ave, Suite 125, Los Alamitos, CA 90720 Phone: 562-735-0602 Fax: 562-490-8590 | |
T.h. Choi, A Medical Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Katella Ave, Suite 300, Los Alamitos, CA 90720 Phone: 562-430-7533 Fax: 425-928-4044 |