Organization
CENTRAL COAST GASTROENTEROLOGY ASSOCIATES INC
Active
Organization
CENTRAL COAST GASTROENTEROLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYA MUKTHINUTHALAPATI MD (PRESIDENT/CEO)
(831) 800-7887
Entity
Organization
Contact information
Practice address
3121 PARK AVE STE D, SOQUEL, CA 95073-2956
(831) 260-3591
(800) 785-5318
Mailing address
20 PASATIEMPO DR, SANTA CRUZ, CA 95060-1807
(831) 800-7887
(831) 998-7155
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
03/06/2026
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