# ENDOSCOPY CENTER OF SOUTH SACRAMENTO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ENDOSCOPY CENTER OF SOUTH SACRAMENTO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487136412
- **Authorized official:** ERIC BOON (AUTHORIZED OFFICIAL / OFFICER)
- **Authorized official phone:** (480) 567-0259

## Contact information

- **Practice address:** 8120 TIMBERLAKE WAY STE 103, SACRAMENTO, CA 95823-5413
- **Practice address phone:** (916) 681-2350
- **Practice address fax:** (916) 681-2370
- **Mailing address:** 15305 DALLAS PKWY STE 1600, ADDISON, TX 75001-6491
- **Mailing address phone:** (972) 763-3893
- **Mailing address fax:** (972) 692-6745

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 08/05/2026