Organization
ADVANCED GASTROENTEROLOGY OF MONTEREY COUNTY MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUMTAZ TABBAA M.D. (OWNER)
(831) 755-6352
Entity
Organization
Contact information
Practice address
1441 CONSTITUTION BLVD, SALINAS, CA 93906-3100
(831) 755-6352
(831) 755-6297
Mailing address
395 DEL MONTE CENTER STE 173, MONTEREY, CA 93940-6156
(831) 755-6352
(831) 372-1666
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A54688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A546880
—
CA
Enumeration date
01/26/2007
Last updated
02/14/2018
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