PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER
Ambulatory Health at Crown Valley Pkwy, San Juan Capistrano, CA

License number
California 060000855
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. OM P CHAURASIA MD
Title: PRESIDENT
Phone: (949) 365-8836
Address
Address
26421 Crown Valley Pkwy SUITE 140B, San Juan Capistrano, CA 92691
National Provider ID: 1720129893
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER

26421 Crown Vly Pkwy SUITE 140-B, Mission Viejo, CA 92691

Registration:
Jan 7, 2000
State ID:
C2207946
Business type:
Articles of Incorporation
President:
Om P. Chaurasia (President)
Agent:
Daniel Rosen,Orange, CA 92868 (Physical)

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