Hi-bridge Gastroenterology Medical Group Inc. | |
1245 Wilshire Blvd Suite 680 Los Angeles CA 90017-4810 | |
(213) 620-0822 | |
(213) 620-1384 |
Full Name | Hi-bridge Gastroenterology Medical Group Inc. |
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Speciality | Internal Medicine |
Location | 1245 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Patrick H Takahashi (OWNER) |
Authorized Official Contact | 2136200822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hi-bridge Gastroenterology Medical Group Inc. 1245 Wilshire Blvd Suite 680 Los Angeles CA 90017-4810 Ph: (213) 620-0822 | Hi-bridge Gastroenterology Medical Group Inc. 1245 Wilshire Blvd Suite 680 Los Angeles CA 90017-4810 Ph: (213) 620-0822 |
NPI Number | 1629008610 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 05/06/2016 |
Medicare PECOS PAC ID | 5193912715 |
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Medicare Enrollment ID | O20101208001217 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629008610 | NPI | - | NPPES |
A548380 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | A054838 (California) | Primary |
Provider Name | Patrick Hideo Takahashi |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1477584928 PECOS PAC ID: 6002003621 Enrollment ID: I20101208001258 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |