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Organization

BUENA VISTA SURGERY CENTER, LLC

Active
Other names
Golden State Ambulatory Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW ENNA (OWNER)
(310) 858-3880
Entity
Organization

Contact information

Practice address
1762 MANHATTAN BEACH BLVD STE 202, MANHATTAN BEACH, CA 90266-6220
(888) 282-7472
Mailing address
121 GRAY AVE, SUITE 200, SANTA BARBARA, CA 93101-1800

Taxonomy

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

Other

Enumeration date
11/16/2016
Last updated
04/11/2025
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