Organization
COLIMA ENDOSCOPY CENTER INC
Active
Other names
Colima Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNG JUN YOO M.D (MEDICAL DIRECTOR)
(626) 913-1116
Entity
Organization
Contact information
Practice address
1900 S BREA CANYON RD UNIT A, DIAMOND BAR, CA 91765-4059
(626) 913-1116
(626) 913-1261
Mailing address
1900 S BREA CANYON RD UNIT A, DIAMOND BAR, CA 91765-4059
(626) 913-1116
(626) 913-1261
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
05C0001387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05C0001387
MEDICARE AMBULATORY SURGICAL CENTER CERTIFICATION
CA
05
—
SUR01387F
—
CA
Enumeration date
10/17/2005
Last updated
06/26/2024
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