Organization
PASADENA GASTROENTEROLOGY MEDICAL GROUP INC
Active
Organization
PASADENA GASTROENTEROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEA THOMAS (OFFICE MANAGER)
(626) 797-9883
Entity
Organization
Contact information
Practice address
2750 E WASHINGTON BLVD, STE 330, PASADENA, CA 91107-1448
(626) 797-9883
Mailing address
2750 E. WASHINGTON BLVD, STE 330, PASADENA, CA 91107
(626) 797-9883
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GROO29750
—
CA
Enumeration date
05/30/2007
Last updated
08/22/2020
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