Organization
WILSHIRE ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AO)
(480) 567-0269
Entity
Organization
Contact information
Practice address
3200 WILSHIRE BLVD, STE 101, LOS ANGELES, CA 90010-1333
(213) 739-9988
Mailing address
3200 WILSHIRE BLVD, LOS ANGELES, CA 90010-1333
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
01/14/2025
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