BRAWLEY ENDOSCOPY & SURGERY MED CTR; NPI #1346208642

Contact Information

BRAWLEY ENDOSCOPY & SURGERY MED CTR

1550 N IMPERIAL AVE
SUITE 3
EL CENTRO, CA 92243-6304

Phone: 760-352-3000
Fax: 760-352-1985
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for BRAWLEY ENDOSCOPY & SURGERY MED CTR

NPI Number 1346208642

LBN Legal business name BRAWLEY ENDOSCOPY & SURGERY MED CTR

Authorized official MAHOMED SULIMAN - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/03/2006

Last updated 07/09/2014 - About 12 years ago

Identifiers

CA	License #	090000507
CA	Medicaid	SUR01326F
CA	Other	090000507	STATE LICENSE

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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BRAWLEY ENDOSCOPY & SURGERY MED CTR

Contact Information

Specialty

Endoscopy

NPI Profile & details for BRAWLEY ENDOSCOPY & SURGERY MED CTR

Reviews for BRAWLEY ENDOSCOPY & SURGERY MED CTR