SOUTH COUNTY GASTRO MEDICAL CLINIC PC – NPI #1104522606
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

SOUTH COUNTY GASTRO MEDICAL CLINIC PC is a provider located in MISSION VIEJO, CA. NPPES has assigned the NPI number 1104522606 to SOUTH COUNTY GASTRO MEDICAL CLINIC PC on February 06, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 3 years ago on Feb 08, 2023. 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 SOUTH COUNTY GASTRO MEDICAL CLINIC PC below.

NPI Profile for
SOUTH COUNTY GASTRO MEDICAL CLINIC PC

NPI Number
1104522606
Enumeration Date

(more than 3 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
SOUTH COUNTY GASTRO MEDICAL CLINIC PC
Primary location
26691 PLAZA STE 150
MISSION VIEJO, CA 92691-6347
Phone: (949) 348-2900 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NADER MIRHOSENI
CEO
Phone: (949) 348-2900
Updated
Certification Date
Feb 08, 2023

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
207RG0100X
- Internal Medicine / Gastroenterology (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.