Organization
GASTRIC BANDING MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LEROY GERTSCH M.D. (MEDICAL DIRECTOR)
(858) 715-1822
Entity
Organization
Contact information
Practice address
8705 COMPLEX DR, SAN DIEGO, CA 92123-1401
(858) 715-1822
(858) 974-7245
Mailing address
8705 COMPLEX DR, SAN DIEGO, CA 92123-1401
(858) 715-1822
(858) 974-7245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C35744
CA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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