Pacific Gastroenterology Endoscopy Center
Clinic/Center, Ambulatory Surgical in Mission Viejo, CA. Organization (NPI-2).
NPI number1720129893
StatusActive
Last updated in NPPESJun 3, 2015
Details
- NPI
- 1720129893
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Gastroenterology Endoscopy Center
- Organization subpart
- No
- Enumeration date
- Feb 9, 2007
- Last updated
- Jun 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 060000855 | CA | Yes |
Practice location
26421 Crown Valley PkwySuite 140b
Mission Viejo, CA 92691-8564
Phone 949-365-8836
Mailing address
26421 Crown Valley PkwySuite 140b
Mission Viejo, CA 92691-8564
Phone 949-365-8836
Authorized official
Om P Chaurasia
President
9493658836
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