Organization
GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORDO SUCHOV M.D. (MANAGING PARTNER)
(213) 483-5940
Entity
Organization
Contact information
Practice address
201 S ALVARADO ST, SUITE 707, LOS ANGELES, CA 90057-2320
(213) 483-5940
(213) 483-9084
Mailing address
201 S ALVARADO ST, SUITE 707, LOS ANGELES, CA 90057-2320
(213) 483-5940
(213) 483-9084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064560
—
CA
Enumeration date
01/18/2007
Last updated
08/22/2020
Update your record
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