Organization
EAST BAY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROSHAN MD (CEO)
(310) 415-1047
Entity
Organization
Contact information
Practice address
13847 E 14TH ST STE 116, SAN LEANDRO, CA 94578-2625
(818) 855-1507
Mailing address
425 15TH ST UNIT 3195, MANHATTAN BEACH, CA 90266-7316
(818) 855-1507
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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