GASTROENTEROLOGY AND THERAPEUTIC ENDOSCOPY – NPI #1871841692
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.

GASTROENTEROLOGY AND THERAPEUTIC ENDOSCOPY is a provider located in CORONA, CA. NPPES has assigned the NPI number 1871841692 to GASTROENTEROLOGY AND THERAPEUTIC ENDOSCOPY on August 28, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GASTROENTEROLOGY AND THERAPEUTIC ENDOSCOPY” is a dba name, the actual legal business name for this organization is MMJ MEDICAL INC,. 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 14 years ago on Nov 16, 2012. 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 AND THERAPEUTIC ENDOSCOPY below.

NPI Profile for
MMJ MEDICAL INC,

NPI Number
1871841692
Enumeration Date

(about 14 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
MMJ MEDICAL INC,
Doing Business As (dba): GASTROENTEROLOGY AND THERAPEUTIC ENDOSCOPY
Primary location
1810 FULLERTON AVE
SUITE 203
CORONA, CA 92881
Phone: (951) 934-0505 Fax: (951) 934-0506
Mailing address
29 PRAIRIE
IRVINE, CA 92618-8840
Phone: (949) 825-5188 Fax: (949) 825-5189
Organization Subpart
No
Authorized Official
MOHAMMAD MAZEN JAMAL
OWNER
Phone: (949) 813-5115
Updated
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)
CA A46078

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.