Organization
SIERRA GASTROENTEROLOGY
Active
Organization
SIERRA GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GARRETT (BILLING MANAGER)
(310) 348-0500
Entity
Organization
Contact information
Practice address
44725 10TH ST W, STE 250, LANCASTER, CA 93534-3033
(310) 348-0500
Mailing address
44725 10TH ST W, STE 250, LANCASTER, CA 93534-3033
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0024400
—
CA
Enumeration date
04/18/2007
Last updated
02/13/2008
Update your record
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