Organization
GASTROENTEROLOGY & HEPATOLOGY SPECIALISTS INC
Active
Organization
GASTROENTEROLOGY & HEPATOLOGY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUR TRIVEDI MD (PRESIDENT)
(805) 492-4463
Entity
Organization
Contact information
Practice address
1687 ERRINGER RD, SUITE 103, SIMI VALLEY, CA 93065-6508
(805) 462-4463
(866) 496-4990
Mailing address
3288 CASINO DR, THOUSAND OAKS, CA 91362-4802
(805) 492-4463
(866) 496-4990
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A91177
CA
Other
Enumeration date
03/01/2012
Last updated
04/25/2012
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