Organization
ENDOSCOPY CENTER OF THE SOUTH BAY LP
Active
Other names
Endoscopy Center of the South Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
23560 MADISON ST, SUITE 109, TORRANCE, CA 90505-4709
(310) 325-6331
(310) 325-6335
Mailing address
23560 MADISON ST, SUITE 109, TORRANCE, CA 90505-4709
(310) 325-6331
(310) 325-6335
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ31558Z
—
CA
Enumeration date
01/17/2006
Last updated
02/02/2022
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