STOCKTON ENDOSCOPY CENTER LLC; NPI #1386657666

Contact Information

STOCKTON ENDOSCOPY CENTER LLC

415 E HARDING WAY
SUITE E
STOCKTON, CA 95204

Phone: 209-942-1179
Fax: 209-942-2200
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for STOCKTON ENDOSCOPY CENTER LLC

NPI Number 1386657666

LBN Legal business name STOCKTON ENDOSCOPY CENTER LLC

Authorized official SAMUEL MARCUS - (CO FOUNDER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/15/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

30000792

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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