Organization
FOOTHILL SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WEISE M.D. (MEDICAL DIRECTOR)
(818) 956-1010
Entity
Organization
Contact information
Practice address
255 E. SANTA CLARA ST. 110, ARCADIA, CA 91006
(818) 956-1010
(818) 543-6083
Mailing address
255 E. SANTA CLARA ST. 110, ARCADIA, CA 91006
(818) 956-1010
(818) 543-6083
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930001003
CA
Other
Enumeration date
02/28/2008
Last updated
10/17/2018
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