# SR NAKKA MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366857377
- **Authorized official:** DR. SREENIVASA RAO NAKKA M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (951) 929-1177

## Contact information

- **Practice address:** 25495 MEDICAL CENTER DR, SUITE 307, MURRIETA, CA 92562-4902
- **Practice address phone:** (951) 304-3900
- **Practice address fax:** (951) 304-3901
- **Mailing address:** 949 CALHOUN PL, SUITE A, HEMET, CA 92543-4403
- **Mailing address phone:** (951) 929-1177
- **Mailing address fax:** (951) 765-9111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 543686 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2014
- **Last updated:** 01/12/2016