| NPI | 1174552632 |
|---|---|
| Doing Business As | EL PORTAL ENDOSURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | REBECCA L SHAW CEO 209-723-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2014-07-21 |