VIRGIL ENDOSCOPY CENTER LLC NPI 1811447246

NPI Information

VIRGIL ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Los Angeles, CA. VIRGIL ENDOSCOPY CENTER LLC NPI is 1811447246. The provider is registered as an organization entity type.

The provider's business location address is:

500 S VIRGIL AVE
SUITE 301
LOS ANGELES, CA
ZIP 90020-446
Phone: (213) 738-6090

The provider's authorized official is Michael C Blanton .
The authorized official title is President, Board Of Managers and has the following contact phone number (615) 345-6900.

The CLIA number assigned to this NPI record is 05D2102189 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.

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:

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