Gastroenterology Medical Clinic in Folsom - Specialist
Gastroenterology Medical Clinic - NPI 1578741401
Gastroenterology Medical Clinic is a Specialist in Folsom, California. Gastroenterology Medical Clinic practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gastroenterology Medical Clinic is 1578741401. The last update date is 2023-10-18.
Gastroenterology Medical Clinic's current location address is 1580 Creekside Dr Ste 150, Folsom, California. You can contact this provider via phone number 9169834444 and fax number 9169838563. The mailing address for Gastroenterology Medical Clinic is 1580 Creekside Dr Ste 150, Folsom, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gastroenterology Medical Clinic |
|---|---|
| Address | 1580 Creekside Dr Ste 150, Folsom, California |
| Phone Number | 9169834444 |
| Fax Number | 9169838563 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pecha Erick Robert |
| Credentials | M.D. |
| Telephone Number | 9169834444 |
NPI Number Detail
| NPI Number | 1578741401 |
|---|---|
| Provider Enumeration Date | 2008-02-01 |
| Last Updated Date | 2023-10-18 |
Provider Mailing Address Detail
| Address | 1580 Creekside Dr Ste 150 |
|---|---|
| City | Folsom |
| State | California (CA) |
| Post Code | 956303888 |
| Phone Number | 9169834444 |
| Fax Number | 9169838563 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0048710 | CA | -- |
Post Comment/ Review Below
What is the Gastroenterology Medical Clinic's 1578741401?
The Gastroenterology Medical Clinic's NPI (National Provider Identifier) Number is 1578741401. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gastroenterology Medical Clinic is located?
The Gastroenterology Medical Clinic is situated at the following address: 1580 Creekside Dr Ste 150, Folsom, CA, 956303888.
What is the Gastroenterology Medical Clinic's area of specialization and corresponding taxonomy classification?
The Gastroenterology Medical Clinic's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date was the 1578741401 assigned to Gastroenterology Medical Clinic?
The Gastroenterology Medical Clinic was issued its 1578741401 on 2008-02-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Gastroenterology Medical Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gastroenterology Medical Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-10-18.
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