Organization
INPATIENT GASTROENTEROLOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHAB MEHDIZADEH M.D. (PRESIDENT)
(310) 246-4100
Entity
Organization
Contact information
Practice address
116 S CROFT AVE, 301, LOS ANGELES, CA 90048-3448
(310) 246-4100
(310) 285-2029
Mailing address
116 S CROFT AVE, 301, LOS ANGELES, CA 90048-3448
(310) 246-4100
(310) 285-2029
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A76490
CA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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