# SILICON VALLEY AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1255620639
- **Authorized official:** CAROUSEL CASTILLO BSCS, BSN (ADMINISTRATOR)
- **Authorized official phone:** (424) 249-3783

## Contact information

- **Practice address:** 125 CIRO AVE, STE 101 & 110, SAN JOSE, CA 95128-1671
- **Practice address phone:** (424) 249-3783
- **Practice address fax:** (866) 851-2648
- **Mailing address:** 369 S DOHENY DR, STE 169, BEVERLY HILLS, CA 90211-3577
- **Mailing address phone:** (424) 249-3783
- **Mailing address fax:** (866) 851-2648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | A84519 | CA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A84519 | CA | Yes |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 04/06/2011