GRAND GI & ENDOSCOPY GROUP INC. NPI 1871914291

NPI Information

  • NPI: 1871914291
  • Provider Name: GRAND GI & ENDOSCOPY GROUP, INC.
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • Doing Business As: GRAND ENDOSCOPY CENTER
  • CLIA Number: 05D2076999
  • Address: 505 S VIRGIL AVE
    SUITE 104
    LOS ANGELES, CA
    ZIP 90020
  • Phone: (213) 381-3630

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NPI Details

GRAND GI & ENDOSCOPY GROUP, INC. is an endoscopy clinic center in Los Angeles, CA. GRAND GI & ENDOSCOPY GROUP, INC. NPI is 1871914291. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Endoscopy Center.

The provider's business location address is:

505 S VIRGIL AVE
SUITE 104
LOS ANGELES, CA
ZIP 90020-406
Phone: (213) 381-3630
Fax: (213) 381-3631

The provider's authorized official is Nary L Cheng .
The authorized official title is Office Manager and has the following contact phone number (213) 381-3630.

The CLIA number assigned to this NPI record is 05D2076999 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2014 and was last updated on 5/21/2014.

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
1261QE0800XClinic/CenterEndoscopyA92866CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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