Organization
SIERRA ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
300 SIERRA COLLEGE DR, STE.105, GRASS VALLEY, CA 95945-5082
(530) 273-0527
Mailing address
300 SIERRA COLLEGE DR STE 105, GRASS VALLEY, CA 95945-5084
(530) 273-0527
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
230000350
CA
Other
Enumeration date
05/02/2006
Last updated
02/20/2026
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