Organization
CENTER FOR DIGESTIVE DISORDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HAROLD KOGAN M.D. (PRESIDENT)
(510) 234-5012
Entity
Organization
Contact information
Practice address
2089 VALE RD STE 33, SUITE 33, SAN PABLO, CA 94806-3850
(510) 234-5012
(510) 234-4921
Mailing address
2089 VALE RD STE 33, SUITE 33, SAN PABLO, CA 94806-3850
(510) 234-5012
(510) 234-4921
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
CA
Other
Enumeration date
11/01/2006
Last updated
11/21/2007
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