Organization
EVERGREEN SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN JAROSCAK (CHIEF FINANCIAL OFFICER)
(424) 279-9481
Entity
Organization
Contact information
Practice address
3434 MIDWAY DR, SUITE 1008, SAN DIEGO, CA 92110-4923
(619) 221-0146
(619) 225-9675
Mailing address
9461 CHARLEVILLE BLVD, SUITE 476, BEVERLY HILLS, CA 90212-3017
(424) 279-9481
(424) 279-9482
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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