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Organization

SAN RAMON SURGERY CENTER, LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLEN K. LAU M.D. (OWNER)
(925) 838-6880
Entity
Organization

Contact information

Practice address
200 PORTER DR, STE. 100, SAN RAMON, CA 94583-1587
(925) 838-6880
(925) 838-6886
Mailing address
11999 SAN VICENTE BL., STE. 440, LOS ANGELES, CA 90049-5042
(310) 440-3131
(310) 472-9582

Taxonomy

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

Other

Enumeration date
06/21/2006
Last updated
11/27/2012
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