# SAN DIEGO AMBULATORY SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1912239013
- **Authorized official:** CINDY OMIDI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (310) 714-1888

## Contact information

- **Practice address:** 3434 MIDWAY DR, SUITE 1006, SAN DIEGO, CA 92110-4923
- **Practice address phone:** (310) 714-1888
- **Mailing address:** 9001 WILSHIRE BLVD STE 106, BEVERLY HILLS, CA 90211-1839
- **Mailing address phone:** (310) 714-1888

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2010
- **Last updated:** 02/01/2010