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Organization
SOUTHERN CALIFORNIA LIVER AND GI CENTER
Active
Organization
SOUTHERN CALIFORNIA LIVER AND GI CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK HASSANEIN MD (MEDICAL DIRECTOR)
(619) 522-0399
Entity
Organization
Contact information
Practice address
468 GIBSON AVE, PACIFIC GROVE, CA 93950-4416
(619) 840-2720
Mailing address
675 CAMINO DE LOS MARES, SAN CLEMENTE, CA 92673-2835
(619) 522-0399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11999
CA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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