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Organization

OTOLOGY SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LYDIA BLEVINS (BUSINESS OFFICE DIRECTOR)
(650) 494-1000
Entity
Organization

Contact information

Practice address
1900 UNIVERSITY AVE STE 101, EAST PALO ALTO, CA 94303-2213
(650) 494-1000
Mailing address
1900 UNIVERSITY AVE STE 101, EAST PALO ALTO, CA 94303-2213
(650) 494-1000

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
06/20/2011
Last updated
06/20/2011
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