NPI 1013048461
Gastroenterology Diagnostic Center Medical Group, a Professional
Practice location
- Address
- 880 S Atlantic Blvd Suite G 10, Monterey Park, CA 91754-4700
- Phone
- (626) 872-6261
- Fax
- (626) 872-1948
- Mailing address
- 880 S Atlantic Blvd #g 10, Monterey Park, CA 91754-4700
Authorised official
- Name
- Fernando Ibarra
- Title
- Authorized Official
- Phone
- (626) 872-6261
Registered specialties
Ambulatory Surgical Clinic/Center
Primary
Registry record
- NPI
- 1013048461
- Entity type
- Organization
- NPI issued
- 8 Mar 2007
- Record last updated
- 15 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.