ASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA – NPI #1487866646
Clinic/Center

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).

ASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA is an AHC clinic located in MONTEREY PARK, CA. NPPES has assigned the NPI number 1487866646 to ASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 6 years ago on Aug 22, 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 ASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA below.

NPI Profile for
ASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA

NPI Number
1487866646
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
ASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA
Primary location
880 S. ATLANTIC BLVD.
SUITE G-10
MONTEREY PARK, CA 91754
Phone: (213) 483-5940 Fax: (231) 483-9084
Mailing address
201 S. ALVARADO ST.
SUITE 707
LOS ANGELES, CA 90057-2320
Phone: (213) 483-5940 Fax: (213) 483-9084
Organization Subpart
No
Authorized Official
MORDO SUCHOV
MANAGING PARTNER
Phone: (213) 483-5940
Updated
Identifiers

Identifiers for ASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0064560
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
261QM2500X
- Clinic/Center / Medical Specialty (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.