# MONTEREY BAY ENDOSCOPY CENTER LLC

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

## Provider details

- **NPI number:** 1508818634
- **Authorized official:** SUZANNE J GREEN (ADMINISTRATOR)
- **Authorized official phone:** (831) 375-3577

## Contact information

- **Practice address:** 23 UPPER RAGSDALE DR, SUITE 100, MONTEREY, CA 93940-7849
- **Practice address phone:** (831) 375-3577
- **Practice address fax:** (831) 375-1478
- **Mailing address:** 23 UPPER RAGSDALE DR, SUITE 100, MONTEREY, CA 93940-7849
- **Mailing address phone:** (831) 375-3577
- **Mailing address fax:** (831) 375-1478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 070000315 | CA | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 03/27/2023