# HOPE SQUARE SURGICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hope Square Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144225608
- **Authorized official:** MISS KATHERINE L. REED (OFFICER, MEDICARE AUTHORIZED OFFICI)
- **Authorized official phone:** (972) 763-3859

## Contact information

- **Practice address:** 39700 BOB HOPE DRIVE, SUITE 301, RANCHO MIRAGE, CA 92270-7129
- **Practice address phone:** (760) 346-7696
- **Practice address fax:** (760) 340-5156
- **Mailing address:** 39700 BOB HOPE DRIVE, SUITE 301, RANCHO MIRAGE, CA 92270-7129
- **Mailing address phone:** (760) 346-7696
- **Mailing address fax:** (760) 340-5156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 250000515 | CA | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 08/07/2013
