Corporation | |
32144 Agollra Road Suite 11b Westlake Village CA 91361-4087 | |
(805) 495-0823 | |
(818) 889-7602 |
Full Name | Corporation |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 32144 Agollra Road, Westlake Village, California |
Authorized Official Name and Position | Hector Alberto Caballero (PRESIDENT) |
Authorized Official Contact | 8054950823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Corporation 32144 Agollra Road Suite 11b Westlake Village CA 91361-4087 Ph: (805) 495-0823 | Corporation 32144 Agollra Road Suite 11b Westlake Village CA 91361-4087 Ph: (805) 495-0823 |
NPI Number | 1366512899 |
---|---|
Provider Enumeration Date | 11/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366512899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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