Organization
LOS ANGELES-INGLEWOOD ENDOSCOPY LP
Active
Other names
Airport Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
8110 AIRPORT BLVD, FIRST FLOOR, LOS ANGELES, CA 90045-3119
(310) 846-4150
(310) 846-4183
Mailing address
8110 AIRPORT BLVD, FIRST FLOOR, LOS ANGELES, CA 90045-3119
(310) 846-4150
(310) 846-4183
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05-1514
—
CA
Enumeration date
02/08/2006
Last updated
02/16/2022
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