# UCSD AMBULATORY SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UCSD AMBULATORY SURGERY CENTER, LLC
- **Other names:** Outpatient Surgery Center of La Jolla
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225648470
- **Legal business name:** UCSD AMBULATORY SURGERY CENTER, LLC
- **Authorized official:** MR. JEREMY PEOPLES (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (858) 657-0055

## Contact information

- **Practice address:** 4120 LA JOLLA VILLAGE DR, LA JOLLA, CA 92037-1406
- **Practice address phone:** (858) 657-0055
- **Practice address fax:** (858) 657-0066
- **Mailing address:** 4120 LA JOLLA VILLAGE DR, LA JOLLA, CA 92037-1406
- **Mailing address phone:** (858) 657-0055
- **Mailing address fax:** (858) 657-0066

## Taxonomy

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

## Other

- **Enumeration date:** 08/03/2020
- **Last updated:** 08/03/2020