Organization
SANTA MONICA GI MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D GORDON (CEO)
(310) 385-3200
Entity
Organization
Contact information
Practice address
200 N ROBERTSON BLVD, SUITE 100, BEVERLY HILLS, CA 90211-1769
(310) 967-1884
(310) 967-1800
Mailing address
PO BOX 54679, LOS ANGELES, CA 90054-0679
(310) 967-1884
(310) 967-1800
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/21/2016
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