Provider Demographics
NPI:1992879977
Name:PACIFIC ENDOSCOPY CENTER, LLC
Entity type:Organization
Organization Name:PACIFIC ENDOSCOPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SURINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-429-5800
Mailing Address - Street 1:17815 NEWHOPE ST
Mailing Address - Street 2:SUITE R
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5426
Mailing Address - Country:US
Mailing Address - Phone:714-432-8881
Mailing Address - Fax:714-432-8883
Practice Address - Street 1:17815 NEWHOPE ST
Practice Address - Street 2:SUITE R
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5426
Practice Address - Country:US
Practice Address - Phone:714-432-8881
Practice Address - Fax:714-432-8883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical