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Organization
SURGCENTER OF SAN DIEGO, LLC
Active
Organization
SURGCENTER OF SAN DIEGO, LLC
Active
Other names
Advanced Surgery Center of North County
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
488 E VALLEY PKWY STE 100, ESCONDIDO, CA 92025-3300
(760) 546-4386
(760) 546-4389
Mailing address
488 E. VALLEY PARKWAY, SUITE 100, ESCONDIDO, CA 92025-3300
(760) 546-4386
(760) 546-4389
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/20/2017
Last updated
09/17/2024
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