Organization
HI-BRIDGE GASTROENTEROLOGY MEDICAL GROUP INC.
Active
Organization
HI-BRIDGE GASTROENTEROLOGY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK H TAKAHASHI M.D. (OWNER)
(213) 620-0822
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 680, LOS ANGELES, CA 90017-4810
(213) 620-0822
(213) 620-1384
Mailing address
1245 WILSHIRE BLVD, SUITE 680, LOS ANGELES, CA 90017-4810
(213) 620-0822
(213) 620-1384
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A054838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A548380
—
CA
Enumeration date
07/04/2006
Last updated
05/06/2016
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