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Organization
AMBULATORY CARE SURGICAL CENTER INC
Active
Organization
AMBULATORY CARE SURGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEROY GERTSCH MD (MEDICAL DIRECTOR)
(858) 974-7200
Entity
Organization
Contact information
Practice address
5225 KEARNY VILLA WAY, SAN DIEGO, CA 92123-1410
(858) 974-7200
(858) 974-7245
Mailing address
5225 KEARNY VILLA WAY, SAN DIEGO, CA 92123-1410
(858) 974-7200
(858) 974-7245
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
080000458
CA
Other
Enumeration date
12/08/2009
Last updated
04/18/2012
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