Organization
LA JOLLA ENDOSCOPY CENTER LP
Active
Other names
La Jolla Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE, SUITE 980, LA JOLLA, CA 92037-1234
(858) 453-7525
(858) 453-5753
Mailing address
9850 GENESEE AVE, SUITE 980, LA JOLLA, CA 92037-1234
(858) 453-7525
(858) 453-5753
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
080000443
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5329026
—
CA
Enumeration date
02/08/2006
Last updated
05/03/2022
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