Organization
ADVANCED GASTROENTEROLOGY, INC.
Active
Organization
ADVANCED GASTROENTEROLOGY, INC.
Active
Other names
AGI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT SIMONI MD (OWNER)
(805) 719-0244
Entity
Organization
Contact information
Practice address
555 MARIN ST STE 270, THOUSAND OAKS, CA 91360-4112
(805) 719-0244
(805) 777-1730
Mailing address
555 MARIN ST STE 270, THOUSAND OAKS, CA 91360-4112
(805) 719-0244
(805) 777-1730
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A77140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20758
MEDICARE GROUP ID
CA
Enumeration date
04/13/2007
Last updated
02/11/2025
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