Healthcare Provider Details

I. General information

NPI: 1780544874
Provider Name (Legal Business Name): OC GASTRO ENDOSCOPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 W IMPERIAL HWY STE 105
BREA CA
92821-3812
US

IV. Provider business mailing address

955 W IMPERIAL HWY STE 105
BREA CA
92821-3812
US

V. Phone/Fax

Practice location:
  • Phone: 714-527-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JASON YIP
Title or Position: PRESIDENT
Credential: MD
Phone: 714-527-6000