Organization
DESERT VIEW ENDOSCOPY CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS NGUYEN M.D. (CHIEF MEDICAL OFFICER)
(760) 946-5800
Entity
Organization
Contact information
Practice address
12595 HESPERIA RD, SUITE 100, VICTORVILLE, CA 92395-5882
(760) 946-5800
Mailing address
12565 HESPERIA RD, SUITE 1, VICTORVILLE, CA 92395-8318
(760) 946-5800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
BSL11-01505
CA
261QE0800X
Endoscopy Clinic/Center
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Other
Enumeration date
05/31/2011
Last updated
05/20/2013
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