| Pacific Coast Gastroenterology, Inc | |
|
18 Endeavor Suite 204 Irvine CA 92618-3164 | |
| (949) 727-2035 | |
| (949) 727-2141 |
| Full Name | Pacific Coast Gastroenterology, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18 Endeavor, Irvine, California |
| Authorized Official Name and Position | David Jacob Kaufman (PRESIDENT) |
| Authorized Official Contact | 9497272035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Coast Gastroenterology, Inc 18 Endeavor Suite 204 Irvine CA 92618-3164 Ph: (949) 727-2035 | Pacific Coast Gastroenterology, Inc 18 Endeavor Suite 204 Irvine CA 92618-3164 Ph: (949) 727-2035 |
| NPI Number | 1356361166 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 01/28/2009 |
| Medicare PECOS PAC ID | 6406850650 |
|---|---|
| Medicare Enrollment ID | O20060831000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356361166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 20A8799 (California) | Primary |
| Provider Name | David J Kaufman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508893363 PECOS PAC ID: 0749262160 Enrollment ID: I20040601000949 |
| Provider Name | Francis S Heinemann |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578578944 PECOS PAC ID: 9638258304 Enrollment ID: I20080506000658 |
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