# CENTRAL ARIZONA GI & LIVER INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL ARIZONA GI & LIVER INSTITUTE LLC
- **Other names:** AZ Gastro Care Endoscopy Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164871075
- **Legal business name:** CENTRAL ARIZONA GI & LIVER INSTITUTE LLC
- **Authorized official:** JAE HO KIM (MEDICAL DIRECTOR)
- **Authorized official phone:** (480) 393-0575

## Contact information

- **Practice address:** 4001 E BASELINE RD, SUITE 102, GILBERT, AZ 85234-2726
- **Practice address phone:** (480) 565-8045
- **Practice address fax:** (480) 407-6551
- **Mailing address:** 4001 E BASELINE RD STE 102-103, GILBERT, AZ 85234-2726
- **Mailing address phone:** (480) 565-8045
- **Mailing address fax:** (480) 407-6551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QE0800X | Endoscopy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/10/2016
- **Last updated:** 07/07/2025