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Organization
DESERT VIEW ENDOSCOPY CENTER, LLC.
Active
Organization
DESERT VIEW ENDOSCOPY CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS NGUYEN M.D. (CHIEF MEDICAL OFFICER)
(760) 946-5800
Entity
Organization
Contact information
Practice address
12595 HESPERIA RD, SUITE 100, VICTORVILLE, CA 92395-5882
(760) 946-5800
Mailing address
12565 HESPERIA RD, SUITE 1, VICTORVILLE, CA 92395-8318
(760) 946-5800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
BSL11-01505
CA
261QE0800X
Endoscopy Clinic/Center
—
NULL
Other
Enumeration date
05/31/2011
Last updated
05/20/2013
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