Organization
TEMECULA CA ENDOSCOPY ASC LP
Active
Other names
Temecula Valley Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
25150 HANCOCK AVE, SUITE 208, MURRIETA, CA 92562-5987
(951) 698-8805
(951) 698-8898
Mailing address
25150 HANCOCK AVE, SUITE 208, MURRIETA, CA 92562-5987
(951) 698-8805
(951) 698-8898
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
250000810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0612336
—
CA
Enumeration date
02/15/2006
Last updated
09/07/2023
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