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NPI 1689599276

NPI 1689599276 : PRECISION GI LA INC : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1689599276
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRECISION GI LA INC 
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Dates
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    Enumeration Date     |    08/12/2026
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    Last Update Date     |    08/12/2026
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Provider Practice Location Address
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    Address Line         |    8631 W 3RD ST STE 1015E 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90048-5913
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    Country              |    US
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    Telephone            |    310-963-4123
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    Fax                  |    310-358-2266
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Provider Business Mailing Address
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    Address Line         |    8631 W 3RD ST STE 1015E 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90048-5913
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    Country              |    US
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    Telephone            |    310-963-4123
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    Fax                  |    310-358-2266
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. SIAMAK  TABIB 
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    Credential           |    MD
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    Telephone            |    310-963-4123
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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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