| Gastroenterology Associates Of The South Bay A Profess Medical Corp | |
|
20911 Earl Street Suite 280 Torrance CA 90503 | |
| (310) 214-7236 | |
| (310) 542-0334 |
| Full Name | Gastroenterology Associates Of The South Bay A Profess Medical Corp |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 20911 Earl Street, Torrance, California |
| Authorized Official Name and Position | Mark H Takemura (M.D.) |
| Authorized Official Contact | 3102147236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of The South Bay A Profess Medical Corp 20911 Earl Street Suite 280 Torrance CA 90503 Ph: (310) 214-7236 | Gastroenterology Associates Of The South Bay A Profess Medical Corp 20911 Earl Street Suite 280 Torrance CA 90503 Ph: (310) 214-7236 |
| NPI Number | 1518975879 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 10/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518975879 | NPI | - | NPPES |
| 100011914 | Other | CA | RAILROAD |
| 100008536 | Other | CA | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G29961 (California) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | G58448 (California) | Primary |
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