Fremont Ambulatory Surgery Center, Lp

LBN: Fremont Ambulatory Surgery Center, Lp
Fremont Ambulatory Surgery Center, Lp is an health care organization with primary practice located at 39350 Civic Center Dr Suite 100 , Fremont CA 94538-2331. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Fremont Ambulatory Surgery Center, Lp can be contacted via phone (510) 456-4600, or through Mazoros, John via phone (510) 456-4650.

Contact Information

Primary practice address
39350 Civic Center Dr Suite 100 Fremont CA 94538-2331
Fax: (510) 794-6822
Website:
Authorized official contact:
Name: Mazoros, John

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 140000527 California
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 140000600 California

Profile Details

NPI number 1851369284
LBN Legal business name Fremont Ambulatory Surgery Center, Lp
DBA Doing business as
Authorized official Mazoros, John
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 2nd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851369284 NPPES
California MEDICAID SUR51053F

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