Provider Demographics
NPI:1073357679
Name:CALIFORNIA GASTROENTEROLOGY CONSULTANTS, INC
Entity type:Organization
Organization Name:CALIFORNIA GASTROENTEROLOGY CONSULTANTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-415-9883
Mailing Address - Street 1:98-199 KAMEHAMEHA HWY UNIT C-108
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4821
Mailing Address - Country:US
Mailing Address - Phone:808-425-2376
Mailing Address - Fax:888-859-0148
Practice Address - Street 1:98-199 KAMEHAMEHA HWY UNIT C-108
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4821
Practice Address - Country:US
Practice Address - Phone:808-425-2376
Practice Address - Fax:888-859-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty