# OTOLOGY SURGERY CENTER

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

## Provider details

- **NPI number:** 1285920132
- **Authorized official:** MS. LYDIA BLEVINS (BUSINESS OFFICE DIRECTOR)
- **Authorized official phone:** (650) 494-1000

## Contact information

- **Practice address:** 1900 UNIVERSITY AVE STE 101, EAST PALO ALTO, CA 94303-2213
- **Practice address phone:** (650) 494-1000
- **Mailing address:** 1900 UNIVERSITY AVE STE 101, EAST PALO ALTO, CA 94303-2213
- **Mailing address phone:** (650) 494-1000

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2011
- **Last updated:** 06/20/2011