Organization
GASTROENTEROLOGY MEDICAL OF LOS ANGELES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO IBARRA MD (OWNER/PRESIDENT)
(626) 284-1350
Entity
Organization
Contact information
Practice address
850 S ATLANTIC BLVD, SUITE 101, MONTEREY PARK, CA 91754-6700
(626) 284-1350
(626) 284-2454
Mailing address
850 S ATLANTIC BLVD, SUITE 101, MONTEREY PARK, CA 91754-6700
(626) 284-1350
(626) 284-2454
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A38493
CA
Other
Enumeration date
02/13/2015
Last updated
12/07/2020
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