Organization
BRAWLEY ENDOSCOPY & SURGERY MED CTR
Active
Other names
VALLEY ENDOSCOPY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHOMED SULIMAN M.D. (MEDICAL DIRECTOR)
(760) 352-3000
Entity
Organization
Contact information
Practice address
1550 N IMPERIAL AVE, SUITE 3, EL CENTRO, CA 92243-6304
(760) 352-3000
(760) 352-1985
Mailing address
PO BOX 2601, EL CENTRO, CA 92244-2601
(760) 352-3000
(760) 352-1985
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
090000507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090000507
STATE LICENSE
CA
05
—
SUR01326F
—
CA
Enumeration date
05/03/2006
Last updated
07/09/2014
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