Organization
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA LLC
Active
Organization
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA LLC
Active
Other names
Endoscopy Center of Southern California
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (AO)
(480) 567-0269
Entity
Organization
Contact information
Practice address
2336 SANTA MONICA BLVD STE 204, SANTA MONICA, CA 90404-2938
(310) 453-4477
(310) 315-0204
Mailing address
2336 SANTA MONICA BLVD, SUITE #204, SANTA MONICA, CA 90404-2095
(310) 829-6789
(310) 315-0204
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01193F
—
CA
Enumeration date
07/08/2006
Last updated
09/17/2024
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