# SOUTHLAND ENDOSCOPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southland Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982744231
- **Authorized official:** DR. SREENIVASA R NAKKA (M.D, F.A.C.P, F.A.C.G)
- **Authorized official phone:** (951) 929-1177

## Contact information

- **Practice address:** 949 CALHOUN PL, SUITE B, HEMET, CA 92543-4403
- **Practice address phone:** (951) 929-1177
- **Practice address fax:** (951) 765-9111
- **Mailing address:** 949 CALHOUN PL, SUITE B, HEMET, CA 92543-4403
- **Mailing address phone:** (951) 929-1177
- **Mailing address fax:** (951) 765-9111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 240000545 | CA | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 09/12/2011