Organization
EUCLID ENDOSCOPY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TADDESE T DESTA M.D. (MEDICAL DIRECTOR)
(619) 266-3332
Entity
Organization
Contact information
Practice address
286 EUCLID AVE STE 109, SAN DIEGO, CA 92114-3611
(619) 266-3332
(619) 266-6006
Mailing address
286 EUCLID AVE STE 109, SAN DIEGO, CA 92114-3611
(619) 266-3332
(619) 266-6006
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
CA
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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