Organization
EAST BAY AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY OMIDI (EXECUTIVE DIRECTOR)
(310) 714-1888
Entity
Organization
Contact information
Practice address
1860 MOWRY AVE, SUITE 401 / 402, FREMONT, CA 94538-1730
(510) 713-0700
(510) 713-0701
Mailing address
9001 WILSHIRE BLVD, SUITE 106, BEVERLY HILLS, CA 90211-1838
(310) 714-1888
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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