Organization
SAN RAMON ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
5801 NORRIS CANYON RD, SUITE 220, SAN RAMON, CA 94583-5440
(925) 275-9966
Mailing address
5801 NORRIS CANYON RD, SUITE 220, SAN RAMON, CA 94583-5440
(925) 275-9966
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZH0707Z
BLUE SHIELD
CA
Enumeration date
08/10/2006
Last updated
06/20/2025
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