Organization
ENDOSCOPY CENTER OF SANTA MONICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC D WISHINGRAD M.D. (CHIEF FINANCIAL OFFICER)
(310) 442-5566
Entity
Organization
Contact information
Practice address
12400 WILSHIRE BLVD, SUITE 100, LOS ANGELES, CA 90025-1019
(310) 442-5566
(310) 442-5561
Mailing address
12400 WILSHIRE BLVD, SUITE 100, LOS ANGELES, CA 90025-1019
(310) 442-5566
(310) 442-5561
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
02/01/2023
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