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Organization
TEMECULA CA ENDOSCOPY ASC LP
Active
Organization
TEMECULA CA ENDOSCOPY ASC LP
Active
Other names
Temecula Valley Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH JONES (DIRECTOR OF BUSINESS OPERATIONS)
(951) 698-8805
Entity
Organization
Contact information
Practice address
25150 HANCOCK AVE, SUITE 208, MURRIETA, CA 92562-5987
(951) 698-8805
(951) 698-8898
Mailing address
25150 HANCOCK AVE, SUITE 208, MURRIETA, CA 92562-5987
(951) 698-8805
(951) 698-8898
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS308X
CRNA - SANDBERG
CA
01
—
AZ149X
CRNA - MCNAMARA
CA
01
—
BB070W
CRNA BJERK
CA
01
—
BU941Y
CRNA - LUCAS
CA
01
—
CE284Y
CRNA - STALLMER
CA
01
—
CH801Z
CRNA-PERRENOUD
CA
01
—
CY651Z
CRNA - LYNN
CA
01
—
DB330Z
CRNA - FERGUSON
CA
Enumeration date
07/07/2009
Last updated
09/27/2018
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