| Valley Gastroenterolgy Consultants Medical Center, Inc. | |
|
1330 W Covina Blvd Suite 203 San Dimas CA 91773-3200 | |
| (909) 592-6157 | |
| (909) 592-1544 |
| Full Name | Valley Gastroenterolgy Consultants Medical Center, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1330 W Covina Blvd, San Dimas, California |
| Authorized Official Name and Position | Samuel Mourani (PRESIDENT) |
| Authorized Official Contact | 9095926157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Gastroenterolgy Consultants Medical Center, Inc. 488 E Santa Clara St Suite 103 Arcadia CA 91006-7229 Ph: (909) 592-6157 | Valley Gastroenterolgy Consultants Medical Center, Inc. 1330 W Covina Blvd Suite 203 San Dimas CA 91773-3200 Ph: (909) 592-6157 |
| NPI Number | 1487656864 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487656864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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