Organization
PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIED DALLALZADEH M.D. (PRESIDENT)
(818) 986-0006
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD STE 718, ENCINO, CA 91436-1995
(818) 986-0006
(818) 986-2333
Mailing address
16661 VENTURA BLVD STE 718, SUITE 718, ENCINO, CA 91436-1995
(818) 986-0006
(818) 986-2333
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
00300204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A489420
—
CA
Enumeration date
01/16/2007
Last updated
10/22/2025
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