# GLENDALE ENDOSCOPY CENTER, LLC

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

## Provider details

- **NPI number:** 1932258415
- **Authorized official:** ERIC BOON (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 824 N GLENDALE AVE, GLENDALE, CA 91206-2127
- **Practice address phone:** (818) 654-9301
- **Practice address fax:** (818) 654-9305
- **Mailing address:** 824 N GLENDALE AVE, GLENDALE, CA 91206-2127
- **Mailing address phone:** (818) 500-0523

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 10/13/2025