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General NPI Number Information
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NPI Number | 1912065665
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Entity Type | Organization
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Legal Business Name | WEST VALLEY PEDIATRIC GASTROENTEROLOGY AND NUTRITION, INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 23101 SHERMAN PL SUITE 311
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City | WEST HILLS
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State | CA
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Zip | 91307-2003
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Country | US
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Telephone | 805-584-9476
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Fax | 805-583-1729
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Provider Business Mailing Address
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Address Line | 23101 SHERMAN PL SUITE 311
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City | WEST HILLS
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State | CA
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Zip | 91307-2003
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Country | US
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Telephone | 805-584-9476
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Fax | 805-583-1729
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CYNTHIA C. SEE
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Credential | MD
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Telephone | 818-715-7147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | A44890
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A44890
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License Number State | CA
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