Samaritan Endoscopy Center, Inc. | |
15195 National Avenue Suite 204 Los Gatos CA 95032-2631 | |
(408) 356-0988 | |
(408) 356-0978 |
Full Name | Samaritan Endoscopy Center, Inc. |
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Speciality | Clinic/Center |
Location | 15195 National Avenue, Los Gatos, California |
Authorized Official Name and Position | Bassam G Saffouri (PRESIDENT) |
Authorized Official Contact | 4083560988 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Samaritan Endoscopy Center, Inc. 15195 National Avenue Suite 204 Los Gatos CA 95032-2631 Ph: (408) 356-0988 | Samaritan Endoscopy Center, Inc. 15195 National Avenue Suite 204 Los Gatos CA 95032-2631 Ph: (408) 356-0988 |
NPI Number | 1447352737 |
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Provider Enumeration Date | 09/05/2006 |
Last Update Date | 03/10/2023 |
Medicare PECOS PAC ID | 9739196171 |
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Medicare Enrollment ID | O20060309000713 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447352737 | NPI | - | NPPES |
54220ZZH4328Z | Other | CA | BLUE SHIELD |
A51744 | Medicaid | CA | |
550000093 | Other | CA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 550000093 (California) | Secondary |
261QE0800X | Clinic/center - Endoscopy | 550000093 (California) | Primary |
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