Organization
EAST BAY SURGERY CENTER
Active
Other names
PLEASANTON SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FORREST SMITH M.D. (MEDICAL DIRECTOR)
(925) 462-4334
Entity
Organization
Contact information
Practice address
1393 SANTA RITA RD, PLEASANTON, CA 94566-5665
(925) 462-4334
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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