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Organization

GASTRO CARE INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIVAIK TYAGI MD (PRESIDENT)
(661) 575-7603
Entity
Organization

Contact information

Practice address
1331 W AVENUE J STE 202, LANCASTER, CA 93534-2954
(661) 529-7550
(661) 529-7560
Mailing address
PO BOX 5688, LANCASTER, CA 93539-5688
(661) 529-7550
(661) 529-7560

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
10/23/2018
Last updated
10/23/2018
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