Organization
ODYSSEY ASC ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUN-ICHI OHARA M.D. (MEDICAL DIRECTOR)
(949) 654-8963
Entity
Organization
Contact information
Practice address
22 ODYSSEY, STE 175, IRVINE, CA 92618-3186
(949) 654-8963
Mailing address
22 ODYSSEY, STE 175, IRVINE, CA 92618-3186
(949) 654-8963
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
02/18/2020
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