ADVANCED ENDOSCOPY AND PAIN CENTER LLC NPI 1205195716

NPI Information

NPI: 1205195716
Provider Name: ADVANCED ENDOSCOPY AND PAIN CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1035053

Address:
1753 W AVENUE J
STE A
LANCASTER, CA
ZIP 93534
Phone: (661) 206-0555
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ADVANCED ENDOSCOPY AND PAIN CENTER LLC is an ambulatory surgical clinic center in Lancaster, CA. ADVANCED ENDOSCOPY AND PAIN CENTER LLC NPI is 1205195716. The provider is registered as an organization entity type.

The provider's business location address is:

1753 W AVENUE J
STE A
LANCASTER, CA
ZIP 93534-823
Phone: (661) 206-0555

The provider's authorized official is David Holst .
The authorized official title is President, Board Of Managers and has the following contact phone number 61534566900.

The CLIA number assigned to this NPI record is 05D1035053 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2012 and was last updated on 4/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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