Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Surgical Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1497171342

Evergreen Surgical Center, LLC is an Ambulatory Surgical Clinic/Center in San Diego, California. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3434 Midway Dr Ste 1008
San Diego, CA 92110-4923
Phone: (619) 221-0146
Fax: (619) 225-9675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1497171342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maureen Jaroscak — Chief Financial Officer · (424) 279-9481
NPI enumeratedMarch 14, 2014
Last updated in NPPESMarch 14, 2014
Mailing address9461 Charleville Blvd, Suite 476, Beverly Hills, CA 90212-3017

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