| San Fernando Valley Gastroenterology Medical Group Inc | |
|
18425 Burbank Blvd Ste 500 Tarzana CA 91356-6691 | |
| (818) 708-6000 | |
| (818) 708-6009 |
| Full Name | San Fernando Valley Gastroenterology Medical Group Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 18425 Burbank Blvd Ste 500, Tarzana, California |
| Authorized Official Name and Position | Judy Felkai (OFFICE MANAGER) |
| Authorized Official Contact | 8187086000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Fernando Valley Gastroenterology Medical Group Inc 18425 Burbank Blvd Ste 500 Tarzana CA 91356-6691 Ph: (818) 708-6000 | San Fernando Valley Gastroenterology Medical Group Inc 18425 Burbank Blvd Ste 500 Tarzana CA 91356-6691 Ph: (818) 708-6000 |
| NPI Number | 1295810323 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 06/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295810323 | NPI | - | NPPES |
| W1132 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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