Organization
SOUTH GATE AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY A RICHMOND D.P.M. (PRESIDENT)
(323) 566-1183
Entity
Organization
Contact information
Practice address
3425 FIRESTONE BLVD, SOUTH GATE, CA 90280-3029
(323) 566-1183
(323) 566-5348
Mailing address
3425 FIRESTONE BLVD, SOUTH GATE, CA 90280-3029
(323) 566-1183
(323) 566-5348
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
E2739
CA
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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