# FREMONT SURGERY CENTER NORTH

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

## Provider details

- **NPI number:** 1780996868
- **Authorized official:** MR. JOHN MAZOROS (MANAGING PARTNER)
- **Authorized official phone:** (510) 456-4600

## Contact information

- **Practice address:** 39472 PASEO PADRE PKWY, FREMONT, CA 94538-2310
- **Practice address phone:** (510) 456-4600
- **Practice address fax:** (510) 794-6822
- **Mailing address:** 39350 CIVIC CENTER DR STE 280, FREMONT, CA 94538-2331
- **Mailing address phone:** (510) 456-4600
- **Mailing address fax:** (510) 456-1006

## Taxonomy

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

## Other

- **Enumeration date:** 07/06/2010
- **Last updated:** 10/13/2011