Organization
PACIFIC ENDOSCOPY AND SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
17815 NEWHOPE ST, SUITE R, FOUNTAIN VALLEY, CA 92708-5426
(714) 432-8881
Mailing address
17815 NEWHOPE ST, SUITE R, FOUNTAIN VALLEY, CA 92708-5426
(714) 432-8881
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
10/15/2024
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