Organization
ADVANCED GASTROENTEROLOGY OF MONTEREY COUNTY MEDICAL CORP
Active
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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