Organization
FREMONT ASC PARTNERS, LLC
Active
Other names
Stevenson Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD GHARAATI (ADMINISTRATOR)
(510) 791-5200
Entity
Organization
Contact information
Practice address
2675 STEVENSON BLVD, SECOND FLOOR, FREMONT, CA 94538-2317
(510) 791-5200
(510) 791-5201
Mailing address
2675 STEVENSON BLVD, SECOND FLOOR, FREMONT, CA 94538-2317
(510) 791-5200
(510) 791-5201
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95304
AAAHC CERTIFICATION
CA
01
—
F1984
MEDICARE PTAN
CA
Enumeration date
04/27/2011
Last updated
11/19/2012
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