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General NPI Number Information
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NPI Number | 1578147617
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Entity Type | Organization
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Legal Business Name | CALIFORNIA GASTROENTEROLOGY INSTITUTE
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 1240 S WESTLAKE BLVD STE 137
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-1988
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Country | US
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Telephone | 818-527-1747
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Fax | 818-476-5614
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Provider Business Mailing Address
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Address Line | 1240 S WESTLAKE BLVD STE 137
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-1988
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Country | US
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Telephone | 818-527-1747
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SALEEM DESAI
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Credential | MD
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Telephone | 818-527-1747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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