| Advanced Gi Endoscopy Inc | |
|
2490 Hospital Dr 211 Mountain View CA 94040-4122 | |
| (650) 988-7488 | |
| (650) 988-7486 |
| Full Name | Advanced Gi Endoscopy Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2490 Hospital Dr, Mountain View, California |
| Authorized Official Name and Position | Tonya Kaltenbach (PRESIDENT) |
| Authorized Official Contact | 6508140629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gi Endoscopy Inc 2490 Hospital Dr 211 Mountain View CA 94040-4122 Ph: (650) 988-7488 | Advanced Gi Endoscopy Inc 2490 Hospital Dr 211 Mountain View CA 94040-4122 Ph: (650) 988-7488 |
| NPI Number | 1437497096 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 01/16/2013 |
| Medicare PECOS PAC ID | 9537304605 |
|---|---|
| Medicare Enrollment ID | O20130320000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437497096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A81539 (California) | Primary |
| Provider Name | Roy Soetikno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922119916 PECOS PAC ID: 5294815627 Enrollment ID: I20080110000228 |
| Provider Name | Tonya R Kaltenbach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578618419 PECOS PAC ID: 5092864801 Enrollment ID: I20090528000233 |
Alfred Butner, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2204 Grant Rd, Suite 203, Mountain View, CA 94040 Phone: 650-960-1100 Fax: 650-964-0991 | |
Joyce Tatelman Md, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2204 Grant Rd, Suite 104, Mountain View, CA 94040 Phone: 650-528-5110 Fax: 650-528-5115 | |
Samuel N Marcus Md Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Hospital Dr, Suite 211, Mountain View, CA 94040 Phone: 650-988-7488 Fax: 650-988-7486 | |
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George Triadafilopoulos Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2490 Hospital Dr, Ste. 211, Mountain View, CA 94040 Phone: 650-988-7488 Fax: 650-396-5566 | |
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