Organization
HOPE SQUARE SURGICAL CENTER LLC
Active
Other names
Hope Square Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHERINE L. REED (OFFICER, MEDICARE AUTHORIZED OFFICI)
(972) 763-3859
Entity
Organization
Contact information
Practice address
39700 BOB HOPE DRIVE, SUITE 301, RANCHO MIRAGE, CA 92270-7129
(760) 346-7696
(760) 340-5156
Mailing address
39700 BOB HOPE DRIVE, SUITE 301, RANCHO MIRAGE, CA 92270-7129
(760) 346-7696
(760) 340-5156
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
250000515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051364
BLUE CROSS OF CALIFORNIA
CA
Enumeration date
06/20/2005
Last updated
08/07/2013
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