My Gastro Wellness LLC
My Gastro Wellness LLC is a Gastroenterology Physician in Canoga Park, California. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
22110 Roscoe Blvd Ste 201Canoga Park, CA 91304-3861
Phone: (747) 204-4177
Fax: (818) 431-8283
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X |
|---|
Record details
| NPI number | 1003685249 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Norma Simmons — Manager · (805) 996-0456 |
| NPI enumerated | December 28, 2023 |
| Last updated in NPPES | October 24, 2025 |
| Certification date | October 24, 2025 |
| Mailing address | 22110 Roscoe Blvd, Suite 201, Canoga Park, CA 91304-3861 |