# BUENA VISTA SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden State Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386186781
- **Authorized official:** MATTHEW ENNA (OWNER)
- **Authorized official phone:** (310) 858-3880

## Contact information

- **Practice address:** 1762 MANHATTAN BEACH BLVD STE 202, MANHATTAN BEACH, CA 90266-6220
- **Practice address phone:** (888) 282-7472
- **Mailing address:** 121 GRAY AVE, SUITE 200, SANTA BARBARA, CA 93101-1800

## Taxonomy

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

## Other

- **Enumeration date:** 11/16/2016
- **Last updated:** 04/11/2025
