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Organization
SIERRA GASTROENTEROLOGY
Active
Organization
SIERRA GASTROENTEROLOGY
Active
Other names
S.E.Moorthy MD inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SINNADURAI EARAMPA MOORTHY MD (MANAGING PARTNER)
(661) 945-1874
Entity
Organization
Contact information
Practice address
44725 10TH ST W STE 250, LANCASTER, CA 93534-3048
(661) 945-1874
(661) 945-2584
Mailing address
44725 10TH ST W, SUITE 250, LANCASTER, CA 93534-3033
(661) 945-1874
(661) 945-2584
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A29707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0024400
—
CA
Enumeration date
08/04/2006
Last updated
08/22/2020
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