Organization
CERRITOS ENDOSCOPIC MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAESOO PAK MD (MEDICAL DIRECTOR)
(562) 809-8082
Entity
Organization
Contact information
Practice address
11845 SOUTH ST, CERRITOS, CA 90703-6825
(562) 809-8082
Mailing address
11845 SOUTH STREET, CERRITOS, CA 90703
(562) 809-8082
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
W22596
—
Other
Enumeration date
08/23/2006
Last updated
01/06/2009
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