# EAST BAY ENDOSCOPY CENTER L P

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

## Provider details

- **NPI number:** 1396741807
- **Authorized official:** BRADLEY HEATON (CEO)
- **Authorized official phone:** (916) 566-4907

## Contact information

- **Practice address:** 5858 HORTON ST, STE 100, EMERYVILLE, CA 94608-2007
- **Practice address phone:** (510) 654-4554
- **Practice address fax:** (510) 654-4594
- **Mailing address:** 5858 HORTON ST, SUITE 100, EMERYVILLE, CA 94608-2006
- **Mailing address phone:** (510) 654-4554

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 04/26/2024