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Organization
SILICON VALLEY AMBULATORY SURGERY CENTER, LLC
Active
Organization
SILICON VALLEY AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROUSEL CASTILLO BSCS, BSN (ADMINISTRATOR)
(424) 249-3783
Entity
Organization
Contact information
Practice address
125 CIRO AVE, STE 101 & 110, SAN JOSE, CA 95128-1671
(424) 249-3783
(866) 851-2648
Mailing address
369 S DOHENY DR, STE 169, BEVERLY HILLS, CA 90211-3577
(424) 249-3783
(866) 851-2648
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
A84519
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A84519
CA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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