Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanced Gi Imaging & Diagnostic Center, Inc

Organization Specialist · NPI 1417149899

Advanced Gi Imaging & Diagnostic Center, Inc is a Specialist in Long Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1045 Atlantic Ave Ste 708
Long Beach, CA 90813-3408
Phone: (562) 437-0719
Fax: (562) 432-0503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G35328 (CA)

Record details

NPI number1417149899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shallman — M.D. · (562) 704-2171
NPI enumeratedAugust 9, 2007
Last updated in NPPESApril 22, 2008
Mailing addressPo Box 797, Los Alamitos, CA 90720-0797

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