Organization
FOOTHILL GATEWAY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI THOMPSON (BILLING MANAGER)
(949) 305-6336
Entity
Organization
Contact information
Practice address
29300 PORTOLA PKWY STE A, LAKE FOREST, CA 92630-8718
(949) 305-6336
(949) 767-5764
Mailing address
29300 PORTOLA PKWY STE A, LAKE FOREST, CA 92630-8718
(949) 305-6336
(949) 767-5764
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
10/22/2010
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