Organization
SAN GABRIEL AMBULATORY SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM CHANG MD (OWNER)
(626) 676-0838
Entity
Organization
Contact information
Practice address
288 N SANTA ANITA AVE STE 404, ARCADIA, CA 91006-3183
(626) 300-5300
(626) 300-5355
Mailing address
288 N SANTA ANITA AVE STE 404, ARCADIA, CA 91006-3183
(626) 300-5300
(626) 300-5355
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01727F
—
CA
Enumeration date
11/17/2006
Last updated
02/03/2023
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