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Medicl Facility ID: 17312469667898332580

Facility Business Name: PACIFIC ENDOSCOPY AND SURGERY CENTER LLC ( FOUNTAIN VALLEY, CA )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id17312469667898332580
Facility NamePACIFIC ENDOSCOPY AND SURGERY CENTER LLC
Address Line17815 NEWHOPE ST
CityFOUNTAIN VALLEY
StateCA
Zip92708
TypeHospital
NPI Number1104006006
Provider Id05C0001803