Organization
GRAND GI & ENDOSCOPY GROUP, INC.
Active
Organization
GRAND GI & ENDOSCOPY GROUP, INC.
Active
Other names
Grand Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
NARY L CHENG (OFFICE MANAGER)
(213) 381-3630
Entity
Organization
Contact information
Practice address
505 S VIRGIL AVE, SUITE 104, LOS ANGELES, CA 90020-1406
(213) 381-3630
(213) 381-3631
Mailing address
505 S VIRGIL AVE, SUITE 104, LOS ANGELES, CA 90020-1406
(213) 381-3630
(213) 381-3631
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
A92866
CA
Other
Enumeration date
01/02/2014
Last updated
05/21/2014
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