Organization
DIGESTIVE DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROWENA GARCIA-CHUAPOCO MD (VICE PRESIDENT)
(650) 756-5000
Entity
Organization
Contact information
Practice address
333 GELLERT BLVD, STE 111, DALY CITY, CA 94015
(650) 757-7900
(650) 757-1196
Mailing address
1850 SULLIVAN AVE STE 520, DALY CITY, CA 94015-2204
(650) 757-7900
(650) 757-1196
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
22D00049D
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01676F
—
CA
Enumeration date
07/29/2006
Last updated
01/29/2010
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