PENINSULA ENDOSCOPY CENTER LLC NPI 1548583651

NPI Information

NPI: 1548583651
Provider Name: PENINSULA ENDOSCOPY CENTER LLC

Doing Business As: MID PENINSULA ENDOSCOPY CENTER

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 05D0919937

Address:
1720 EL CAMINO REAL
SUITE 100
BURLINGAME, CA
ZIP 94010
Phone: (650) 373-1970
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PENINSULA ENDOSCOPY CENTER LLC is an endoscopy clinic center in Burlingame, CA. PENINSULA ENDOSCOPY CENTER LLC NPI is 1548583651. The provider is registered as an organization entity type.
The provider Is Doing Business As Mid Peninsula Endoscopy Center.

The provider's business location address is:

1720 EL CAMINO REAL
SUITE 100
BURLINGAME, CA
ZIP 94010-224
Phone: (650) 373-1970

The provider's authorized official is William D Davis .
The authorized official title is Ceo Adn Authorized Official and has the following contact phone number (916) 566-4770.

The CLIA number assigned to this NPI record is 05D0919937 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 6/6/2016.

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	261QE0800X	Clinic/Center	Endoscopy			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

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