Organization
CALIFORNIA BARIATRIC AND GENERAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN CROSS (OFFICE MANAGER)
(626) 445-0600
Entity
Organization
Contact information
Practice address
622 W DUARTE RD, SUITE 301, ARCADIA, CA 91007-7606
(626) 445-0600
(626) 574-8654
Mailing address
622 W DUARTE RD, SUITE 301, ARCADIA, CA 91007-7606
(626) 445-0600
(626) 574-8654
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G77568
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD8738
RAILROAD MEDICARE
CA
Enumeration date
03/07/2007
Last updated
11/07/2007
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