| NPI | 1376863951 | 
|---|---|
| Doing Business As | LA JOLLA ENDOSCOPY CENTER | 
| Entity Type | Organization | 
| Authorized Contact | BILLIE A PAYNE President 615-665-1283  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology | 
| Enumeration Date | 2010-06-07 | 
| Last Update Date | 2023-09-07 |