| Westside Gastroenterology And Hepatology | |
|
2080 Century Park E Ste 1200 Los Angeles CA 90067-2015 | |
| (310) 986-0555 | |
| (413) 643-6360 |
| Full Name | Westside Gastroenterology And Hepatology |
|---|---|
| Speciality | Internal Medicine |
| Location | 2080 Century Park E Ste 1200, Los Angeles, California |
| Authorized Official Name and Position | Tova Sofer (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 3109860555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Gastroenterology And Hepatology 2080 Century Park E Ste 1200 Los Angeles CA 90067-2015 Ph: (310) 986-0555 | Westside Gastroenterology And Hepatology 2080 Century Park E Ste 1200 Los Angeles CA 90067-2015 Ph: (310) 986-0555 |
| NPI Number | 1487252359 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Medicare PECOS PAC ID | 5294104386 |
|---|---|
| Medicare Enrollment ID | O20221212003042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487252359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Tova Sofer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205169083 PECOS PAC ID: 9931531399 Enrollment ID: I20191123000045 |
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