Organization
MINDFUL PEDIATRIC GASTROENTEROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERTO BULTRON M.D. (CEO)
(626) 800-4059
Entity
Organization
Contact information
Practice address
65 N MADISON AVE, SUITE 709, PASADENA, CA 91101-2035
(626) 800-4059
(626) 800-3974
Mailing address
65 N MADISON AVE, SUITE 709, PASADENA, CA 91101-2035
(626) 800-4059
(626) 800-3974
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A106843
CA
Other
Enumeration date
09/05/2014
Last updated
09/09/2014
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