Organization
EL CAMINO SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA COOPER (EXECUTIVE DIRECTOR)
(650) 961-1200
Entity
Organization
Contact information
Practice address
2480 GRANT RD, MOUNTAIN VIEW, CA 94040-4300
(650) 961-1200
(650) 960-7041
Mailing address
2480 GRANT RD, MOUNTAIN VIEW, CA 94040-4300
(650) 961-1200
(650) 960-7041
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
220000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220000
CA LICENSE NUMBER
—
05
—
SURO1212F
—
CA
Enumeration date
12/22/2006
Last updated
08/22/2020
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