Organization
SDOSC, LP
Active
Other names
San Diego Outpatient Ambulatory Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE V. FOERSTER M.D. (OWNER/MEDICAL DIRECTOR)
(619) 299-9530
Entity
Organization
Contact information
Practice address
3939 RUFFIN RD STE 101, SAN DIEGO, CA 92123-1804
(619) 299-9530
(619) 299-3259
Mailing address
3939 RUFFIN RD STE 101, SAN DIEGO, CA 92123-1804
(619) 299-9530
(619) 299-3259
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
090000114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051012
BLUE CROSS
—
05
—
ZZT11824G
—
CA
01
—
ZZZH3742Z
BLUE SHIELD
—
Enumeration date
03/31/2006
Last updated
03/09/2021
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