Organization
VALLEY GASTROENTEROLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MOURANI M.D. (PRESIDENT)
(626) 359-3330
Entity
Organization
Contact information
Practice address
488 E SANTA CLARA ST, SUITE 103, ARCADIA, CA 91006-7231
(626) 359-3330
(626) 359-3339
Mailing address
488 E SANTA CLARA ST, SUITE 103, ARCADIA, CA 91006-7231
(626) 359-3330
(626) 359-3339
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104710
—
CA
Enumeration date
05/16/2006
Last updated
04/25/2011
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