Organization
SAN GABRIEL VALLEY SURGICAL CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
1250 S SUNSET AVE, STE 100, WEST COVINA, CA 91790-3912
(626) 960-6623
(626) 962-4341
Mailing address
1250 S SUNSET AVE, STE 100, WEST COVINA, CA 91790-3912
(626) 960-6623
(626) 962-4341
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000450
CA
Other
Enumeration date
02/08/2007
Last updated
10/11/2024
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