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Organization

FREMONT AMBULATORY SURGERY CENTER, L.P.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN MAZOROS (MANAGING PARTNER)
(510) 793-4987
Entity
Organization

Contact information

Practice address
39350 CIVIC CENTER DR, FIRST FLOOR, FREMONT, CA 94538-2343
(510) 793-4987
Mailing address
39350 CIVIC CENTER DR, FIRST FLOOR, FREMONT, CA 94538-2343
(510) 793-4987

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CA

Other

Enumeration date
01/15/2010
Last updated
07/21/2022
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