# EL CAMINO AMBULATORY SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1467717702
- **Authorized official:** CAROLE WILSON (CEO)
- **Authorized official phone:** (650) 289-1655

## Contact information

- **Practice address:** 2480 GRANT RD, MOUNTAIN VIEW, CA 94040-4333
- **Practice address phone:** (650) 961-1200
- **Mailing address:** 375 FOREST AVE, PALO ALTO, CA 94301-2521

## Taxonomy

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

## Other

- **Enumeration date:** 07/12/2012
- **Last updated:** 07/12/2012