Organization
SR NAKKA MD
Active
Other names
ADVANCED ENDOSCOPY CENTER-GASTROENTEROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREENIVASA RAO NAKKA M.D. (OWNER/PRESIDENT)
(951) 929-1177
Entity
Organization
Contact information
Practice address
25495 MEDICAL CENTER DR, SUITE 307, MURRIETA, CA 92562-4902
(951) 304-3900
(951) 304-3901
Mailing address
949 CALHOUN PL, SUITE A, HEMET, CA 92543-4403
(951) 929-1177
(951) 765-9111
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
543686
CA
Other
Enumeration date
06/27/2014
Last updated
01/12/2016
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