Southern California Minimal Invasive Endoscopy Inc in Fullerton - Ambulatory Surgical

Southern California Minimal Invasive Endoscopy Inc - NPI 1518975622

Southern California Minimal Invasive Endoscopy Inc is a Ambulatory Surgical in Fullerton, California. Southern California Minimal Invasive Endoscopy Inc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Southern California Minimal Invasive Endoscopy Inc is 1518975622. The last update date is 2013-02-22.

Southern California Minimal Invasive Endoscopy Inc's current location address is 541 Green Acre Dr, Fullerton, California. You can contact this provider via phone number 5624260147 and fax number 8882065318. The mailing address for Southern California Minimal Invasive Endoscopy Inc is 541 Green Acre Dr, Fullerton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern California Minimal Invasive Endoscopy Inc
Address 541 Green Acre Dr, Fullerton, California
Phone Number 5624260147
Fax Number 8882065318
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ghobrial Raid Gergis
Credentials M.D.
Telephone Number 5624260147

NPI Number Detail

NPI Number 1518975622
Provider Enumeration Date 2006-08-04
Last Updated Date 2013-02-22

Provider Mailing Address Detail

Address 541 Green Acre Dr
City Fullerton
State California (CA)
Post Code 928353603
Phone Number 5624260147
Fax Number 8882065318

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No A533370
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A533370 CA --

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FAQs about Southern California Minimal Invasive Endoscopy Inc

What is the unique identification code assigned to Southern California Minimal Invasive Endoscopy Inc by the Centers for Medicare & Medicaid Services?

The Southern California Minimal Invasive Endoscopy Inc has been issued the NPI (National Provider Identifier) 1518975622. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Southern California Minimal Invasive Endoscopy Inc?

The Southern California Minimal Invasive Endoscopy Inc is physically situated at 541 Green Acre Dr, in the city of Fullerton, state of CA, with the postal code 928353603.

What is the Southern California Minimal Invasive Endoscopy Inc's specialty and taxonomy code?

The Southern California Minimal Invasive Endoscopy Inc's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.

When did the Southern California Minimal Invasive Endoscopy Inc receive its 1518975622?

The Southern California Minimal Invasive Endoscopy Inc was issued its 1518975622 on 2006-08-04, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Southern California Minimal Invasive Endoscopy Inc most recently updated or revised?

The information pertaining to Southern California Minimal Invasive Endoscopy Inc, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-22.

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