Organization
VALLEY DIGESTIVE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS ALBERT TARAKJI M.D. (PRESIDENT)
(626) 359-9555
Entity
Organization
Contact information
Practice address
488 E SANTA CLARA ST, SUITE 102, ARCADIA, CA 91006-7229
(626) 359-9555
(626) 359-9556
Mailing address
1330 W COVINA BLVD, SUITE 203, SAN DIMAS, CA 91773-3200
(909) 592-6157
(909) 592-1544
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01634F
—
CA
Enumeration date
08/15/2005
Last updated
08/22/2020
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