# SAN RAMON SURGERY CENTER, LP

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

## Provider details

- **NPI number:** 1306882956
- **Authorized official:** DR. GLEN K. LAU M.D. (OWNER)
- **Authorized official phone:** (925) 838-6880

## Contact information

- **Practice address:** 200 PORTER DR, STE. 100, SAN RAMON, CA 94583-1587
- **Practice address phone:** (925) 838-6880
- **Practice address fax:** (925) 838-6886
- **Mailing address:** 11999 SAN VICENTE BL., STE. 440, LOS ANGELES, CA 90049-5042
- **Mailing address phone:** (310) 440-3131
- **Mailing address fax:** (310) 472-9582

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 11/27/2012