Organization
EASTLAKE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOJAN TALEBZADEH M.D.,D.M.D, J.D. (OWNER)
(619) 216-8000
Entity
Organization
Contact information
Practice address
890 EASTLAKE PKWY, SUITE #100, CHULA VISTA, CA 91914-4520
(619) 216-8000
(619) 216-3223
Mailing address
890 EASTLAKE PKWY, SUITE #100, CHULA VISTA, CA 91914-4520
(619) 216-8000
(619) 216-3223
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A064127
CA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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