Organization
SAN DIEGO AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY OMIDI (EXECUTIVE DIRECTOR)
(310) 714-1888
Entity
Organization
Contact information
Practice address
3434 MIDWAY DR, SUITE 1006, SAN DIEGO, CA 92110-4923
(310) 714-1888
Mailing address
9001 WILSHIRE BLVD STE 106, BEVERLY HILLS, CA 90211-1839
(310) 714-1888
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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