Pacific Gastroenterology Endoscopy Center
LBN: Pacific Gastroenterology Endoscopy Center
Pacific Gastroenterology Endoscopy Center is an health care organization with primary practice located at 26421 Crown Valley Pkwy Suite 140B, Mission Viejo CA 92691-8564. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Pacific Gastroenterology Endoscopy Center can be contacted via phone (949) 365-8836, or through Chaurasia, Om P via phone (949) 365-8836.
Contact Information
Primary practice address
26421 Crown Valley Pkwy Suite 140B
Mission Viejo CA 92691-8564
Phone: (949) 365-8836
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 060000855 | California |
Profile Details
| NPI number | 1720129893 |
|---|---|
| LBN Legal business name | Pacific Gastroenterology Endoscopy Center |
| DBA Doing business as | |
| Authorized official | Chaurasia, Om P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jun 3rd, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720129893 | NPPES |
| California | Other | 060000855 | STATE FACILITY LICENSE |
| California | Other | AS1598 | STATE FACILITY LICENSE |
| California | Other | ZZZH3075Z | STATE FACILITY LICENSE |
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