| Gastroenterology And Therapeutic Endoscopy | |
|
1810 Fullerton Ave Suite 203 Corona CA 92881 | |
| (951) 934-0505 | |
| (951) 934-0506 |
| Full Name | Gastroenterology And Therapeutic Endoscopy |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1810 Fullerton Ave, Corona, California |
| Authorized Official Name and Position | Mohammad Mazen Jamal (OWNER) |
| Authorized Official Contact | 9498135115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology And Therapeutic Endoscopy 29 Prairie Irvine CA 92618-8840 Ph: (949) 825-5188 | Gastroenterology And Therapeutic Endoscopy 1810 Fullerton Ave Suite 203 Corona CA 92881 Ph: (951) 934-0505 |
| NPI Number | 1871841692 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 11/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871841692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A46078 (California) | Primary |
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