# SAN GABRIEL VALLEY SURGICAL CENTER LP

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

## Provider details

- **NPI number:** 1558401299
- **Authorized official:** ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 1250 S SUNSET AVE, STE 100, WEST COVINA, CA 91790-3912
- **Practice address phone:** (626) 960-6623
- **Practice address fax:** (626) 962-4341
- **Mailing address:** 1250 S SUNSET AVE, STE 100, WEST COVINA, CA 91790-3912
- **Mailing address phone:** (626) 960-6623
- **Mailing address fax:** (626) 962-4341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 930000450 | CA | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 10/11/2024