Organization
HUNTINGTON OUTPATIENT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN K WALDVOGEL MD (PRES,BOARD OF MANAGERS,MED DIRECTOR)
(626) 535-2434
Entity
Organization
Contact information
Practice address
797 S FAIR OAKS AVE, PASADENA, CA 91105-2617
(626) 535-2434
(626) 535-2430
Mailing address
797 S FAIR OAKS AVE, PASADENA, CA 91105-2617
(626) 535-2434
(626) 535-2430
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUE51029G
—
CA
Enumeration date
12/15/2005
Last updated
08/22/2020
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