| Organization Name: | AIRPORT URGENT CARE ENDOSCOPY CENTER |
| NPI Number: | 1063848844 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMSHID SHARIATI (OWNER) |
| Mailing Address: | 1117 W Manchester Blvd Suite K Inglewood |
| State: | CA US |
| Postal Code: | 903011500 |
| Phone Number: | 3104037809 |
| Fax Number: | 3109882669 |
| NPI Enumeration Date: | 09/24/2013 |
| NPI Last Update Date: | 10/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |