GASTROENTEROLOGY DIAGNOSTIC CENTER – NPI #1013048461
Clinic/Center

GASTROENTEROLOGY DIAGNOSTIC CENTER is an AHC clinic located in MONTEREY PARK, CA. NPPES has assigned the NPI number 1013048461 to GASTROENTEROLOGY DIAGNOSTIC CENTER on March 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GASTROENTEROLOGY DIAGNOSTIC CENTER” is a dba name, the actual legal business name for this organization is GASTROENTEROLOGY DIAGNOSTIC CENTER MEDICAL GROUP, A PROFESSIONAL. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Jan 15, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GASTROENTEROLOGY DIAGNOSTIC CENTER below.

NPI Profile for
GASTROENTEROLOGY DIAGNOSTIC CENTER MEDICAL GROUP, A PROFESSIONAL

NPI Number
1013048461
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GASTROENTEROLOGY DIAGNOSTIC CENTER MEDICAL GROUP, A PROFESSIONAL
Doing Business As (dba): GASTROENTEROLOGY DIAGNOSTIC CENTER
Primary location
880 S ATLANTIC BLVD
SUITE G 10
MONTEREY PARK, CA 91754-4700
Phone: (626) 872-6261 Fax: (626) 872-1948
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FERNANDO IBARRA
AUTHORIZED OFFICIAL
Phone: (626) 872-6261
Updated
Certification Date
Jan 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.