Organization
CHILDRENS GASTROENTEROLOGY MCSG
Active
Organization
CHILDRENS GASTROENTEROLOGY MCSG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD K MATHIS M.D. (MEDICAL DIRECTOR)
(562) 933-6900
Entity
Organization
Contact information
Practice address
1760 TERMINO AVE, SUITE 300, LONG BEACH, CA 90804-2105
(562) 933-6900
(562) 933-8557
Mailing address
PO BOX 20360, LONG BEACH, CA 90801-3360
(562) 933-6900
(562) 933-8557
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A24038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A240380
DR. MATHIS IND MEDI-CAL NUMBER
CA
01
—
00A549840
DR. SELA-HERMAN IND MEDICAL NUMBER
CA
Enumeration date
04/06/2009
Last updated
04/06/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up