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Organization
SAN DIEGO GASTROENTEROLOGY LLC
Active
Organization
SAN DIEGO GASTROENTEROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARA SALAZAR (ADMINISTRATOR, B&C)
(310) 273-8885
Entity
Organization
Contact information
Practice address
3434 MIDWAY DR, SUITE 1008, SAN DIEGO, CA 92110-4923
(310) 273-8885
Mailing address
357 S FAIRFAX AVE, #379, LOS ANGELES, CA 90036-3124
(310) 273-8885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A84519
CA
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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