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Organization
SOUTHERN CALIFORNIA MEDICAL GASTROENTEROLOGY GROUP, INC
Active
Organization
SOUTHERN CALIFORNIA MEDICAL GASTROENTEROLOGY GROUP, INC
Active
Other names
Gastroenterology Center of Los Angeles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD F CORLIN M.D. (SECRETARY)
(310) 829-6789
Entity
Organization
Contact information
Practice address
351 E TEMPLE ST, LOS ANGELES, CA 90012
(310) 829-6789
Mailing address
1301 20TH STREET, STE 280, SANTA MONICA, CA 90404
(310) 829-6789
(310) 315-0195
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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