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Organization

AMBULATORY CARE SURGICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD LEROY GERTSCH MD (MEDICAL DIRECTOR)
(858) 974-7200
Entity
Organization

Contact information

Practice address
5225 KEARNY VILLA WAY, SAN DIEGO, CA 92123-1410
(858) 974-7200
(858) 974-7245
Mailing address
5225 KEARNY VILLA WAY, SAN DIEGO, CA 92123-1410
(858) 974-7200
(858) 974-7245

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
080000458
CA

Other

Enumeration date
12/08/2009
Last updated
04/18/2012
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