# SOUTH GATE AMBULATORY SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1477680684
- **Authorized official:** DR. BARRY A RICHMOND D.P.M. (PRESIDENT)
- **Authorized official phone:** (323) 566-1183

## Contact information

- **Practice address:** 3425 FIRESTONE BLVD, SOUTH GATE, CA 90280-3029
- **Practice address phone:** (323) 566-1183
- **Practice address fax:** (323) 566-5348
- **Mailing address:** 3425 FIRESTONE BLVD, SOUTH GATE, CA 90280-3029
- **Mailing address phone:** (323) 566-1183
- **Mailing address fax:** (323) 566-5348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | E2739 | CA | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 08/22/2020