Organization
OAKLAND CA ENDOSCOPY ASC LP
Active
Other names
East Bay Endosurgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
300 FRANK OGAWA PLAZA, SUITE 135, OAKLAND, CA 94612
(510) 893-1600
Mailing address
3300 WEBSTER ST, SUITE 312, OAKLAND, CA 94609-3117
(510) 893-1600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
140000674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053496240
—
CA
05
—
SUR01641G
—
CA
Enumeration date
10/26/2006
Last updated
06/22/2022
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