institution
Otay Lakes Surgery Center, Llc
Ambulatory Surgical Clinic/Center in Chula Vista, California
NPI 1376595421

Otay Lakes Surgery Center, Llc is an Ambulatory Surgical Clinic/Center based in Chula Vista, CA and is specialized in Ambulatory Surgical. Otay Lakes Surgery Center, Llc practices in Chula Vista, CA. The NPI Number for Otay Lakes Surgery Center, Llc is 1376595421 and holds a License No. (California).

The current practice location address for Otay Lakes Surgery Center, Llc is 955 Lane Ave, Chula Vista, CA and can be reached out via phone at 619-754-2260 and via fax at 619-754-2261. You can also correspond with Otay Lakes Surgery Center, Llc through the mailing address at 955 LANE AVE, CHULA VISTA, CA - 91914-3501 (mailing address contact number: 619-754-2260).

Location: 955 Lane Ave, Chula Vista, CA, 91914-3501
institution
Provider Profile Details
NPI Number
1376595421
Provider Name
Otay Lakes Surgery Center, Llc
Credential
Provider Entity Type
Organization
Address
955 Lane Ave, Chula Vista, CA, 91914-3501
Phone Number
619-754-2260
Fax Number
619-754-2261
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SUR01779F 05 CA
institution
Provider Business Practice Location Address Details
Address
955 Lane Ave
City
State
Zip
91914-3501
Phone Number
619-754-2260
Fax Number
619-754-2261
person
Provider Business Mailing Address Details
Address
955 Lane Ave
City
State
Zip
91914-3501
Phone Number
619-754-2260
Fax Number
619-754-2261
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
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Definition
Definition to come...
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