# SOUTHERN CALIFORNIA GASTROENTEROLOY & HEPATOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528438876
- **Authorized official:** DR. TAHMINA SULTANA HAQ M.D. (O5167616WNER)
- **Authorized official phone:** (310) 487-7468

## Contact information

- **Practice address:** 910 S SUNSET AVE, SUITE 5, WEST COVINA, CA 91790-3409
- **Practice address phone:** (310) 487-7468
- **Mailing address:** 910 S SUNSET AVE, SUITE 5, WEST COVINA, CA 91790-3409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | A116126 | CA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A116126 | CA | — |
| 261QE0800X | Endoscopy Clinic/Center | A116126 | CA | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |
| 282E00000X | Long Term Care Hospital | A116126 | CA | — |
| 282N00000X | General Acute Care Hospital | A116126 | CA | — |

## Other

- **Enumeration date:** 09/29/2015
- **Last updated:** 09/29/2015