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Cal Med Endoscopy Center LLC

Clinic/Center, Endoscopy in Colton, CA. Organization (NPI-2).

NPI number1982181939
StatusActive
Last updated in NPPESApr 25, 2022

Details

NPI
1982181939
Entity type
Organization (NPI-2)
Legal business name
Cal Med Endoscopy Center LLC
Organization subpart
No
Enumeration date
Jul 23, 2018
Certification date
Apr 25, 2022
Last updated
Apr 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0800X Clinic/Center, Endoscopy––Yes

Practice location

1281 W C St
Colton, CA 92324-1916

Phone 909-580-3353

Mailing address

1281 W C St
Colton, CA 92324-1916

Phone 909-679-2754 · Fax 909-423-0138

Authorized official

Dev Gnanadev
Owner
9095803353

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