0000895527-20-000002.txt : 20201022 0000895527-20-000002.hdr.sgml : 20201022 20201022151431 ACCESSION NUMBER: 0000895527-20-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201022 DATE AS OF CHANGE: 20201022 EFFECTIVENESS DATE: 20201022 FILER: COMPANY DATA: COMPANY CONFORMED NAME: UCSD Ambulatory Surgery Center, LLC CENTRAL INDEX KEY: 0001463993 IRS NUMBER: 261232189 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-378626 FILM NUMBER: 201254677 BUSINESS ADDRESS: STREET 1: 3000 RIVERCHASE GALLERIA STREET 2: SUITE 500 CITY: BIRMINGHAM STATE: AL ZIP: 35244 BUSINESS PHONE: 8585540220 MAIL ADDRESS: STREET 1: 8929 UNIVERSITY CENTER LANE STREET 2: SUITE 103 CITY: SAN DIEGO STATE: CA ZIP: 92122 D 1 primary_doc.xml X0708 D LIVE 0001463993 UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane SUITE 103 San Diego CA CALIFORNIA 92122 858-554-0220 DELAWARE None None Limited Liability Company true Jenna Ramesh c/o UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane, Suite 103 San Diego CA CALIFORNIA 92122 Director Julie Roberts c/o UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane, Suite 103 San Diego CA CALIFORNIA 92122 Director Oren Shill c/o UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane, Suite 103 San Diego CA CALIFORNIA 92122 Director Paul Murphy c/o UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane, Suite 103 San Diego CA CALIFORNIA 92122 Director David Hackley c/o UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane, Suite 103 San Diego CA CALIFORNIA 92122 Director Other Health Care Decline to Disclose 06b false 2020-10-09 false true true 0 16143000 16143000 0 false 26 0 0 0 false UCSD Ambulatory Surgery Center, LLC /s/ Jeanna Ramesh Jeanna Ramesh Manager 2020-10-20