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Organization

EL CAMINO AMBULATORY SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLE WILSON (CEO)
(650) 289-1655
Entity
Organization

Contact information

Practice address
2480 GRANT RD, MOUNTAIN VIEW, CA 94040-4333
(650) 961-1200
Mailing address
375 FOREST AVE, PALO ALTO, CA 94301-2521

Taxonomy

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

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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