Organization
SILICON VALLEY AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROUSEL CASTILLO BSCS, BSN (ADMINISTRATOR)
(424) 249-3783
Entity
Organization
Contact information
Practice address
125 CIRO AVE, STE 101 & 110, SAN JOSE, CA 95128-1671
(424) 249-3783
(866) 851-2648
Mailing address
369 S DOHENY DR, STE 169, BEVERLY HILLS, CA 90211-3577
(424) 249-3783
(866) 851-2648
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
A84519
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A84519
CA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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