Organization
ADVANCED GI CONSULTANTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEONG AN SHEU M.D. (PRESIDENT)
(818) 399-0556
Entity
Organization
Contact information
Practice address
4314 W VICTORY BLVD, BURBANK, CA 91505-1334
(818) 845-1854
(626) 289-5686
Mailing address
4314 W VICTORY BLVD, BURBANK, CA 91505-1334
(818) 845-1854
(626) 289-5686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A72217
CA
207RG0100X
Gastroenterology Physician
Primary
A72217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A722170
—
CA
Enumeration date
11/01/2006
Last updated
09/18/2012
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