Organization
SOUTHERN CALIFORNIA MEDICAL GASTROENTEROLOGY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L KUN M.D. (PRESIDENT)
(310) 829-0045
Entity
Organization
Contact information
Practice address
1301 20TH ST, 280, SANTA MONICA, CA 90404-2050
(310) 829-6789
(310) 315-0204
Mailing address
1301 20TH ST, 280, SANTA MONICA, CA 90404-2050
(310) 829-6789
(310) 315-0204
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ74015Z
—
CA
Enumeration date
10/25/2006
Last updated
05/22/2015
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