institution
Pacific Gastroenterology Endoscopy Center
Ambulatory Surgical Clinic/Center in Mission Viejo, California
NPI 1720129893

Pacific Gastroenterology Endoscopy Center is an Ambulatory Surgical Clinic/Center based in Mission Viejo, CA and is specialized in Ambulatory Surgical. Pacific Gastroenterology Endoscopy Center practices in Mission Viejo, CA. The NPI Number for Pacific Gastroenterology Endoscopy Center is 1720129893 and holds a License No. 060000855 (California).

The current practice location address for Pacific Gastroenterology Endoscopy Center is 26421 Crown Valley Pkwy, Mission Viejo, CA and can be reached out via phone at 949-365-8836.

Location: 26421 Crown Valley Pkwy, Mission Viejo, CA, 92691-8564
institution
Provider Profile Details
NPI Number
1720129893
Provider Name
Pacific Gastroenterology Endoscopy Center
Credential
Provider Entity Type
Organization
Address
26421 Crown Valley Pkwy, Mission Viejo, CA, 92691-8564
Phone Number
949-365-8836
Fax Number
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060000855 01 CA STATE FACILITY LICENSE
AS1598 01 CA BLUE CROSS FACILITY ID
ZZZH3075Z 01 CA BLUE SHIELD FACILITY ID
institution
Provider Business Practice Location Address Details
Address
26421 Crown Valley Pkwy
City
State
Zip
92691-8564
Phone Number
949-365-8836
Fax Number
person
Provider Business Mailing Address Details
Address
26421 Crown Valley Pkwy
City
State
Zip
92691-8564
Phone Number
949-365-8836
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
060000855 (California)
Definition
Definition to come...
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