Gastrointestinal Biosciences Medical Corporation | |
2080 Century Park East #1206 Los Angeles CA 90067 | |
(310) 282-0525 | |
(310) 201-0662 |
Full Name | Gastrointestinal Biosciences Medical Corporation |
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Speciality | Internal Medicine |
Location | 2080 Century Park East, Los Angeles, California |
Authorized Official Name and Position | Nicholas Karyotakis (PRESIDENT) |
Authorized Official Contact | 3102820525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gastrointestinal Biosciences Medical Corporation 9589 Stuart Lane Beverly Hills CA 90210 Ph: (310) 282-0525 | Gastrointestinal Biosciences Medical Corporation 2080 Century Park East #1206 Los Angeles CA 90067 Ph: (310) 282-0525 |
NPI Number | 1497827778 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 08/24/2010 |
Medicare PECOS PAC ID | 8820283955 |
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Medicare Enrollment ID | O20101115000388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497827778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | A61044 (California) | Primary |
Provider Name | Nicholas Karyotakis |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1922072826 PECOS PAC ID: 0143260471 Enrollment ID: I20101115000450 |
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