Provider Demographics
NPI:1265765986
Name:CALIFORNIA ENDOSCOY CENTERS, LLC
Entity type:Organization
Organization Name:CALIFORNIA ENDOSCOY CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRAHALAD
Authorized Official - Middle Name:B
Authorized Official - Last Name:JAJODIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-273-0600
Mailing Address - Street 1:7687 N KAVANAGH AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0362
Mailing Address - Country:US
Mailing Address - Phone:559-431-8888
Mailing Address - Fax:559-447-8400
Practice Address - Street 1:7085 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-8011
Practice Address - Country:US
Practice Address - Phone:559-431-8888
Practice Address - Fax:559-447-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy