# CENTER FOR ENDOSCOPY LLC

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

## Provider details

- **NPI number:** 1942617477
- **Authorized official:** ERIC BOON (OFFICER/AO)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 3921 WARING RD, STE. B, OCEANSIDE, CA 92056-4456
- **Practice address phone:** (760) 940-6300
- **Practice address fax:** (760) 940-8074
- **Mailing address:** 14201 DALLAS PKWY STE 600, DALLAS, TX 75254-2916

## Taxonomy

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

## Other

- **Enumeration date:** 07/16/2014
- **Last updated:** 10/04/2024