Organization
MONTEBELLO SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD SAMPSON M.D. (PRESIDENT)
(323) 728-7998
Entity
Organization
Contact information
Practice address
229 E BEVERLY BLVD, MONTEBELLO, CA 90640-3776
(323) 728-7998
(323) 728-5041
Mailing address
229 E BEVERLY BLVD, MONTEBELLO, CA 90640-3776
(323) 728-7998
(323) 728-5041
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR0122OF
—
CA
Enumeration date
01/18/2007
Last updated
08/22/2020
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