Organization
SALINAS ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PAYNE (PRESIDENT)
(615) 345-6900
Entity
Organization
Contact information
Practice address
1081 LOS PALOS DR, SUITE - A, SALINAS, CA 93901-3916
(831) 771-1458
(831) 783-3089
Mailing address
401 COMMERCE ST STE 600, NASHVILLE, TN 37219-2518
(615) 345-6900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
261QE0800X
Endoscopy Clinic/Center
22078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZH2702Z
BLUE SHIELD PROVIDER NUMBER
CA
Enumeration date
07/05/2005
Last updated
10/29/2018
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