# SAN RAMON ENDOSCOPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184635955
- **Authorized official:** ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 5801 NORRIS CANYON RD, SUITE 220, SAN RAMON, CA 94583-5440
- **Practice address phone:** (925) 275-9966
- **Mailing address:** 5801 NORRIS CANYON RD, SUITE 220, SAN RAMON, CA 94583-5440
- **Mailing address phone:** (925) 275-9966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 06/20/2025
