Organization
GROSSMONT SURGERY CENTER, L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE JONES (OPS COORDINATOR)
(205) 970-5674
Entity
Organization
Contact information
Practice address
8881 FLETCHER PKWY, SUITE 100, LA MESA, CA 91942-3134
(619) 698-0930
Mailing address
8881 FLETCHER PKWY, SUITE 100, LA MESA, CA 91942-3134
(619) 698-0930
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DUT01090G
—
CA
Enumeration date
05/05/2006
Last updated
08/22/2020
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