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Pediatric Gastroenterology Medical Center, Inc.
Medical Specialty Clinic/Center in Encino, California
NPI 1497807184

Pediatric Gastroenterology Medical Center, Inc. is a Medical Specialty Clinic/Center based in Encino, CA and is specialized in Medical Specialty. Pediatric Gastroenterology Medical Center, Inc. practices in Encino, CA. The NPI Number for Pediatric Gastroenterology Medical Center, Inc. is 1497807184 and holds a License No. 00300204 (California).

The current practice location address for Pediatric Gastroenterology Medical Center, Inc. is 16661 Ventura Blvd, Encino, CA and can be reached out via phone at 818-986-0006 and via fax at 818-986-2333.

Location: 16661 Ventura Blvd, Encino, CA, 91436-1995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497807184
Provider Name
Pediatric Gastroenterology Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
16661 Ventura Blvd, Encino, CA, 91436-1995
Phone Number
818-986-0006
Fax Number
818-986-2333
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A489420 05 CA
institution
Provider Business Practice Location Address Details
Address
16661 Ventura Blvd
City
Encino
State
California
Zip
91436-1914
Phone Number
818-986-0006
Fax Number
818-986-2333
person
Provider Business Mailing Address Details
Address
16661 Ventura Blvd
City
Encino
State
California
Zip
91436-1914
Phone Number
818-986-0006
Fax Number
818-986-2333
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
00300204 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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