Organization
INTERVENTIONAL GASTROENTEROLOGY CONSULTANTS A MEDICAL CORPORATION
Active
Organization
INTERVENTIONAL GASTROENTEROLOGY CONSULTANTS A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ SHEPHERD (DIRECTOR OF CREDENTIALING)
(951) 256-4360
Entity
Organization
Contact information
Practice address
4845 VIA DEL CERRO, YORBA LINDA, CA 92887-2641
(714) 305-9507
(888) 818-3162
Mailing address
4845 VIA DEL CERRO, YORBA LINDA, CA 92887-2641
(714) 305-9507
(888) 818-3162
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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