# PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER

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

## Provider details

- **NPI number:** 1720129893
- **Authorized official:** DR. OM P CHAURASIA MD (PRESIDENT)
- **Authorized official phone:** (949) 365-8836

## Contact information

- **Practice address:** 26421 CROWN VALLEY PKWY, SUITE 140B, MISSION VIEJO, CA 92691-8564
- **Practice address phone:** (949) 365-8836
- **Mailing address:** 26421 CROWN VALLEY PKWY, SUITE 140B, MISSION VIEJO, CA 92691-8564
- **Mailing address phone:** (949) 365-8836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 060000855 | CA | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 06/03/2015