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Organization
OTAY LAKES SURGERY CENTER, LLC
Active
Organization
OTAY LAKES SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY KURTH (VP OPERATIONS AND ADMINISTRATION)
(619) 754-2260
Entity
Organization
Contact information
Practice address
955 LANE AVE, SUITE 100, CHULA VISTA, CA 91914-3501
(619) 754-2260
(619) 754-2261
Mailing address
955 LANE AVE, SUITE 100, CHULA VISTA, CA 91914-3501
(619) 754-2260
(619) 754-2261
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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