Organization
SAN MATEO SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SONTAG MD (OWNER)
(650) 570-0529
Entity
Organization
Contact information
Practice address
66 BOVET RD, SUITE 103, SAN MATEO, CA 94402-3125
(650) 570-0529
Mailing address
66 BOVET RD, SUITE 103, SAN MATEO, CA 94402-3125
(650) 570-0529
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
02/10/2015
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