Provider Demographics
NPI:1366515306
Name:PACIFIC ENDOSCOPY SERVICES
Entity type:Organization
Organization Name:PACIFIC ENDOSCOPY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:TOROSIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-363-2800
Mailing Address - Street 1:3351 EL CAMINO REAL STE 220
Mailing Address - Street 2:
Mailing Address - City:ATHERTON
Mailing Address - State:CA
Mailing Address - Zip Code:94027-3802
Mailing Address - Country:US
Mailing Address - Phone:650-363-2800
Mailing Address - Fax:650-364-9599
Practice Address - Street 1:3351 EL CAMINO REAL STE 220
Practice Address - Street 2:
Practice Address - City:ATHERTON
Practice Address - State:CA
Practice Address - Zip Code:94027-3802
Practice Address - Country:US
Practice Address - Phone:650-363-2800
Practice Address - Fax:650-364-9599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZH4113ZOtherBLUE SHIELD
CASUR01632FMedicaid
CAZZZ27188ZMedicare ID - Type Unspecified