| NPI | 1336143734 |
|---|---|
| Doing Business As | ENDOSCOPY CENTER AT SKYPARK |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GARCIA Credentialing Coordinator 310-375-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QE0800X |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-12-11 |