| Socal Gastroenterology Corp. | |
|
10931 Cherry St Ste 300 Los Alamitos CA 90720-2496 | |
| (562) 493-1011 | |
| (562) 594-9226 |
| Full Name | Socal Gastroenterology Corp. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10931 Cherry St Ste 300, Los Alamitos, California |
| Authorized Official Name and Position | Olivia Jaquez (MANAGER) |
| Authorized Official Contact | 5624931011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Gastroenterology Corp. 10931 Cherry St Ste 300 Los Alamitos CA 90720-2496 Ph: (562) 493-1011 | Socal Gastroenterology Corp. 10931 Cherry St Ste 300 Los Alamitos CA 90720-2496 Ph: (562) 493-1011 |
| NPI Number | 1124770508 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 03/11/2022 |
| Medicare PECOS PAC ID | 5698161461 |
|---|---|
| Medicare Enrollment ID | O20220404000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124770508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Thai-van Xuan Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427082890 PECOS PAC ID: 7911946454 Enrollment ID: I20050425001264 |
| Provider Name | Rooba Wardeh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831388206 PECOS PAC ID: 3678619764 Enrollment ID: I20091002000361 |
| Provider Name | Joe Meannan Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700817350 PECOS PAC ID: 7911946181 Enrollment ID: I20100925000080 |
| Provider Name | Timnit Fesehaye Tekeste |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689038721 PECOS PAC ID: 7719310697 Enrollment ID: I20220914000885 |
Ghulam Y Dostzada Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5300 Katella Ave, Los Alamitos, CA 90720 Phone: 562-799-0383 | |
Charles M Maples Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Katella Ave, Suite 110, Los Alamitos, CA 90720 Phone: 562-430-6850 Fax: 562-280-2882 | |
Prohealth Partners, A Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3791 Katella Ave Ste 101, Los Alamitos, CA 90720 Phone: 562-446-0580 | |
Alexandra A Chrysanthis M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10861 Cherry St # 210, Los Alamitos, CA 90720 Phone: 562-795-6406 Fax: 562-795-6409 | |
Cancer And Blood Specialty Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3851 Katella Ave, Suite 125, Los Alamitos, CA 90720 Phone: 562-735-0602 Fax: 562-490-8590 | |
T.h. Choi, A Medical Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Katella Ave, Suite 300, Los Alamitos, CA 90720 Phone: 562-430-7533 Fax: 425-928-4044 |