# EAST BAY AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1902187099
- **Authorized official:** MS. CINDY OMIDI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (310) 714-1888

## Contact information

- **Practice address:** 1860 MOWRY AVE, SUITE 401 / 402, FREMONT, CA 94538-1730
- **Practice address phone:** (510) 713-0700
- **Practice address fax:** (510) 713-0701
- **Mailing address:** 9001 WILSHIRE BLVD, SUITE 106, BEVERLY HILLS, CA 90211-1838
- **Mailing address phone:** (310) 714-1888

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2011
- **Last updated:** 09/01/2011