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Organization
WEST GASTROENTEROLOGY MEDICAL GROUP
Active
Organization
WEST GASTROENTEROLOGY MEDICAL GROUP
Active
Parent organization
WEST GASTROENTEROLOGY MEDICAL GROUP
Other names
West Gastroentrology Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST GASTROENTEROLOGY MEDICAL GROUP
Authorized official
DR. ADEBAMBO OLADELE OJURI MD (PARTNER)
(310) 674-0144
Entity
Organization
Contact information
Practice address
25405 HANCOCK AVE, SUITE 210, MURRIETA, CA 92562-5982
(310) 674-0144
(310) 674-1704
Mailing address
PO BOX 881840, LOS ANGELES, CA 90009-3013
(310) 674-0144
(310) 674-1704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A46336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9516770125
TEL. NUMBER
CA
Enumeration date
07/10/2009
Last updated
07/10/2009
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