# NOVATO ENDOSCOPY CENTER LLC

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

## Provider details

- **NPI number:** 1730192014
- **Authorized official:** SAMUEL N MARCUS MD PH D (CO-FOUNDER)
- **Authorized official phone:** (650) 496-4141

## Contact information

- **Practice address:** 7595 REDWOOD BLVD, SUITE 106, NOVATO, CA 94945
- **Practice address phone:** (415) 892-3414
- **Practice address fax:** (415) 892-3499
- **Mailing address:** PO BOX 39000, DEPT 33691-02, SAN FRANCISCO, CA 94139
- **Mailing address phone:** (650) 493-7729
- **Mailing address fax:** (650) 493-7959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 110000505 | CA | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 07/13/2011