# SURGCENTER OF SAN DIEGO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Surgery Center of North County
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295246981
- **Authorized official:** ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 488 E VALLEY PKWY STE 100, ESCONDIDO, CA 92025-3300
- **Practice address phone:** (760) 546-4386
- **Practice address fax:** (760) 546-4389
- **Mailing address:** 488 E. VALLEY PARKWAY, SUITE 100, ESCONDIDO, CA 92025-3300
- **Mailing address phone:** (760) 546-4386
- **Mailing address fax:** (760) 546-4389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2017
- **Last updated:** 09/17/2024