ENDOSCOPY CENTER OF CHULA VISTA A CORPORATION; NPI #1093802225

Contact Information

ENDOSCOPY CENTER OF CHULA VISTA A CORPORATION

681 3RD AVE
SUITE B
CHULA VISTA, CA 91910-5703

Phone: 619-425-2150
Fax: 619-425-2848
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for ENDOSCOPY CENTER OF CHULA VISTA A CORPORATION

NPI Number 1093802225

LBN Legal business name ENDOSCOPY CENTER OF CHULA VISTA A CORPORATION

Authorized official EDWARD SINGER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/09/2006

Last updated 05/14/2013 - About 13 years ago

Identifiers

CA	License #	SUR01046F
CA	Medicaid	SUR01046F

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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