Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pacific Endoscopy and Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1104006006

Pacific Endoscopy and Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Fountain Valley, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17815 Newhope St Ste R
Fountain Valley, CA 92708-5426
Phone: (714) 432-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1104006006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Boon — Authorized Official · (480) 567-0269
NPI enumeratedNovember 7, 2007
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address17815 Newhope St, Suite R, Fountain Valley, CA 92708-5426

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