ENDOSCOPY CENTER OF SANTA MONICA LLC NPI 1629009071

NPI Information

ENDOSCOPY CENTER OF SANTA MONICA LLC is an endoscopy clinic center in Los Angeles, CA. ENDOSCOPY CENTER OF SANTA MONICA LLC NPI is 1629009071. The provider is registered as an organization entity type.

The provider's business location address is:

12400 WILSHIRE BLVD
SUITE 100
LOS ANGELES, CA
ZIP 90025-019
Phone: (310) 442-5566
Fax: (310) 442-5561

The provider's authorized official is Marc D Wishingrad .
The authorized official title is Chief Financial Officer and has the following contact phone number (310) 442-5566.

The CLIA number assigned to this NPI record is 05D1027262 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 2/1/2023.

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:

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