Provider Demographics
NPI:1912069832
Name:ENDOSCOPY SERVICES, INC
Entity Type:Organization
Organization Name:ENDOSCOPY SERVICES, INC
Other - Org Name:THE ENDOSCOPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.F.O. MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:GOLDKLANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-274-2700
Mailing Address - Street 1:700 GARDEN VIEW CT STE 101
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2478
Mailing Address - Country:US
Mailing Address - Phone:760-274-2700
Mailing Address - Fax:760-274-2710
Practice Address - Street 1:700 GARDEN VIEW CT STE 101
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2478
Practice Address - Country:US
Practice Address - Phone:760-274-2700
Practice Address - Fax:760-274-2710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAS051756Medicare ID - Type Unspecified