Organization
GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP, INC A MEDICAL CORPORATION
Active
Other names
GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEI-FANG KO KO M.D. (PRESIDENT)
(510) 537-4415
Entity
Organization
Contact information
Practice address
19845 LAKE CHABOT RD, SUITE 104, CASTRO VALLEY, CA 94546-4055
(510) 537-4415
Mailing address
19845 LAKE CHABOT RD, SUITE 104, CASTRO VALLEY, CA 94546-4055
(510) 537-4415
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
08/01/2022
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