# SIERRA ENDOSCOPY CENTER, LLC

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

## Provider details

- **NPI number:** 1760440515
- **Authorized official:** ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 300 SIERRA COLLEGE DR, STE.105, GRASS VALLEY, CA 95945-5082
- **Practice address phone:** (530) 273-0527
- **Mailing address:** 300 SIERRA COLLEGE DR STE 105, GRASS VALLEY, CA 95945-5084
- **Mailing address phone:** (530) 273-0527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 230000350 | CA | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 02/20/2026