Endoscopy Surgery Center Of Santa Maria

LBN: Endoscopy Surgery Center Of Santa Maria
Endoscopy Surgery Center Of Santa Maria is an health care organization with primary practice located at 116 S Palisade Dr Suite 110, Santa Maria CA 93454-8904. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Endoscopy Surgery Center Of Santa Maria can be contacted via phone (805) 614-5220, or through Mize, Bruce F via phone (805) 614-5220.

Contact Information

Primary practice address
116 S Palisade Dr Suite 110 Santa Maria CA 93454-8904
Phone: (805) 614-5220
Fax: (805) 614-5221
Website:
Map and Directions
Authorized official contact:
Name: Mize, Bruce F Doctor of Medicine (MD)
Phone: (805) 614-5220

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X California

Profile Details

NPI number 1912004193
LBN Legal business name Endoscopy Surgery Center Of Santa Maria
DBA Doing business as
Authorized official Mize, Bruce F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912004193 NPPES
California MEDICAID SUR01426G

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