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Organization

COAST GASTROENTEROLOGY A MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY A FRANKS (OFFICE MANAGER)
(310) 680-6850
Entity
Organization

Contact information

Practice address
501 E HARDY ST, SUITE 430, INGLEWOOD, CA 90301
(310) 680-6850
(310) 680-6855
Mailing address
2501 PESQUERA DR, LOS ANGELES, CA 90049-1226
(310) 680-6850
(310) 680-6855

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0027410
CA
Enumeration date
09/29/2006
Last updated
06/16/2018
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