West Coast Pediatric Gastroenterology
West Coast Pediatric Gastroenterology provides Pediatric Gastroenterology Physician services in San Dimas, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1330 W Covina Blvd Ste 201San Dimas, CA 91773-3200
Phone: (760) 401-9525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Gastroenterology Physician (primary) | Taxonomy 2080P0206X |
|---|
Record details
| NPI number | 1316791932 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mohamed Shaban — Physician · (562) 459-5271 |
| NPI enumerated | April 11, 2024 |
| Last updated in NPPES | April 11, 2024 |
| Certification date | April 11, 2024 |
| Mailing address | 1330 W Covina Blvd Ste 201, San Dimas, CA 91773-3200 |