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Organization
ARCADIA LIVE OAK SURGERY CENTER
Active
Organization
ARCADIA LIVE OAK SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD PORTOCARRERO DO (CEO)
(626) 461-5408
Entity
Organization
Contact information
Practice address
80 W LIVE OAK AVE, ARCADIA, CA 91007-8561
(626) 929-1625
(626) 461-5436
Mailing address
122A E FOOTHILL BLVD UNIT 304, ARCADIA, CA 91006-2505
(626) 929-1625
(626) 461-5436
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/06/2024
Last updated
10/12/2026
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