# MONTEBELLO SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073665071
- **Authorized official:** REGINALD SAMPSON M.D. (PRESIDENT)
- **Authorized official phone:** (323) 728-7998

## Contact information

- **Practice address:** 229 E BEVERLY BLVD, MONTEBELLO, CA 90640-3776
- **Practice address phone:** (323) 728-7998
- **Practice address fax:** (323) 728-5041
- **Mailing address:** 229 E BEVERLY BLVD, MONTEBELLO, CA 90640-3776
- **Mailing address phone:** (323) 728-7998
- **Mailing address fax:** (323) 728-5041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020