Organization
GLENDALE ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
824 N GLENDALE AVE, GLENDALE, CA 91206-2127
(818) 654-9301
(818) 654-9305
Mailing address
824 N GLENDALE AVE, GLENDALE, CA 91206-2127
(818) 500-0523
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
10/13/2025
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