OrganizationActive
Advanced Endoscopy and Pain Center LLC
NPI 1205195716 · Ambulatory Surgical Clinic/Center · Lancaster, CA
Provider details
- NPI number
- 1205195716
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Holst, President, Board of Managers61534566900
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1753 W Avenue J
Ste a
Lancaster, CA 93534-9823
Phone: (661) 206-0555
Approximate (ZIP-level) locationGet directions
Mailing address
1753 W Avenue J
Lancaster, CA 93534-9823
Registry dates
- Enumerated
- 2012-05-04
- Last updated
- 2016-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.