San Ramon Endoscopy Center Inc | |
5801 Norris Canyon Rd Suite 220 San Ramon CA 94583-5440 | |
(925) 275-9966 | |
Not Available |
Full Name | San Ramon Endoscopy Center Inc |
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Speciality | Clinic/Center |
Location | 5801 Norris Canyon Rd, San Ramon, California |
Authorized Official Name and Position | Eric Boon (OFFICER / AUTHORIZED OFFICIAL) |
Authorized Official Contact | 4805670269 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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San Ramon Endoscopy Center Inc 5801 Norris Canyon Rd Suite 220 San Ramon CA 94583-5440 Ph: (925) 275-9966 | San Ramon Endoscopy Center Inc 5801 Norris Canyon Rd Suite 220 San Ramon CA 94583-5440 Ph: (925) 275-9966 |
NPI Number | 1184635955 |
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Provider Enumeration Date | 08/10/2006 |
Last Update Date | 09/05/2024 |
Medicare PECOS PAC ID | 0042377442 |
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Medicare Enrollment ID | O20090331000083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184635955 | NPI | - | NPPES |
ZZZH0707Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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