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Organization

FOREST AMBULATORY SURGICAL ASSOCIATES LLC

Active
Other names
Forest Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization

Contact information

Practice address
2110 FOREST AVE FL 2, SAN JOSE, CA 95128-1469
(408) 297-3432
(405) 298-3338
Mailing address
2110 FOREST AVE FL 2, SAN JOSE, CA 95128-1469
(408) 297-3432
(405) 298-3338

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
04/20/2006
Last updated
10/21/2022
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