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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