Organization
LOS ANGELES GASTROENTEROLOGY INSTITUTE
Active
Other names
Los Angeles Gastroenterology Institute
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA SIMMONS (BUSINESS MANAGER)
(818) 527-1747
Entity
Organization
Contact information
Practice address
18350 ROSCOE BLVD STE 303, NORTHRIDGE, CA 91325-4157
(818) 527-1747
(818) 476-5614
Mailing address
18350 ROSCOE BLVD STE 303, NORTHRIDGE, CA 91325-4157
(818) 527-1747
(818) 476-5614
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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