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Organization
BUENA VISTA SURGERY CENTER, LLC
Active
Organization
BUENA VISTA SURGERY CENTER, LLC
Active
Other names
Golden State Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ENNA (OWNER)
(310) 858-3880
Entity
Organization
Contact information
Practice address
1762 MANHATTAN BEACH BLVD STE 202, MANHATTAN BEACH, CA 90266-6220
(888) 282-7472
Mailing address
121 GRAY AVE, SUITE 200, SANTA BARBARA, CA 93101-1800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/16/2016
Last updated
04/11/2025
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