| My Gastro Wellness. Llc | |
|
22110 Roscoe Blvd Suite 201 Canoga Park CA 91304-3861 | |
| (747) 204-4177 | |
| (818) 431-8283 |
| Full Name | My Gastro Wellness. Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 22110 Roscoe Blvd, Canoga Park, California |
| Authorized Official Name and Position | Norma Simmons (CEO) |
| Authorized Official Contact | 7472044177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Gastro Wellness. Llc 22110 Roscoe Blvd Suite 201 Canoga Park CA 91304-3861 Ph: (747) 204-4177 | My Gastro Wellness. Llc 22110 Roscoe Blvd Suite 201 Canoga Park CA 91304-3861 Ph: (747) 204-4177 |
| NPI Number | 1003685249 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003685249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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