Organization
UNITED MEDICAL ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UDAYA DESILVA MD (MEDICAL DIRECTOR)
(661) 206-0555
Entity
Organization
Contact information
Practice address
1753 A WEST AVENUE J, LANCASTER, CA 93534
(661) 206-0555
(661) 206-0558
Mailing address
1753 A WEST AVENUE J, LANCASTER, CA 93534
(661) 206-0555
(661) 206-0558
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
5500000201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01730F
—
CA
Enumeration date
09/25/2006
Last updated
08/22/2020
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