Provider Demographics
NPI:1720078892
Name:DIGESTIVE CARE CONSULTANTS
Entity type:Organization
Organization Name:DIGESTIVE CARE CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-375-1246
Mailing Address - Street 1:23451 MADISON ST STE 290
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4737
Mailing Address - Country:US
Mailing Address - Phone:310-375-1246
Mailing Address - Fax:310-375-0590
Practice Address - Street 1:23451 MADISON ST STE 290
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4737
Practice Address - Country:US
Practice Address - Phone:310-375-1246
Practice Address - Fax:310-375-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterologyGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W11257Medicare ID - Type Unspecified
W11257Medicare UPIN
W11257Medicare PIN