# EAST BAY SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1972490399
- **Authorized official:** DANIEL ROSHAN MD (CEO)
- **Authorized official phone:** (310) 415-1047

## Contact information

- **Practice address:** 13847 E 14TH ST STE 116, SAN LEANDRO, CA 94578-2625
- **Practice address phone:** (818) 855-1507
- **Mailing address:** 425 15TH ST UNIT 3195, MANHATTAN BEACH, CA 90266-7316
- **Mailing address phone:** (818) 855-1507

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2025
- **Last updated:** 06/19/2025