| My Gastro Wellness. Llc | |
|
22110 Roscoe Blvd Suite 201 Canoga Park CA 91304-3861 | |
| (747) 204-4177 | |
| (818) 431-8283 |
| Full Name | My Gastro Wellness. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22110 Roscoe Blvd, Canoga Park, California |
| Authorized Official Name and Position | Norma Simmons (CEO) |
| Authorized Official Contact | 7472044177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Gastro Wellness. Llc 22110 Roscoe Blvd Suite 201 Canoga Park CA 91304-3861 Ph: (747) 204-4177 | My Gastro Wellness. Llc 22110 Roscoe Blvd Suite 201 Canoga Park CA 91304-3861 Ph: (747) 204-4177 |
| NPI Number | 1003685249 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 2163863101 |
|---|---|
| Medicare Enrollment ID | O20240508003177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003685249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Cameron S Sikavi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114303302 PECOS PAC ID: 6103161732 Enrollment ID: I20220601000668 |
None Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21041 Parthenia St Unit 158, Canoga Park, CA 91304 Phone: 818-267-8479 Fax: 818-450-0272 | |
Smartcare Community Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7018 Owensmouth Ave, Canoga Park, CA 91303 Phone: 747-388-2080 | |
Sol Weiss, M.d.,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22030 Sherman Way, Suite 118, Canoga Park, CA 91303 Phone: 818-346-1515 Fax: 818-346-1524 | |
H Norman Xu M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7111 Winnetka Ave, Suite 4, Canoga Park, CA 91306 Phone: 818-888-3123 Fax: 818-888-3331 | |
Highland Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7251 Owensmouth Ave, Suite 6, Canoga Park, CA 91303 Phone: 818-883-4100 Fax: 818-883-4105 | |
Bendito Pediatrics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22030 Sherman Way, Suite #210, Canoga Park, CA 91303 Phone: 818-857-5991 Fax: 818-703-0895 |