0001815929-20-000001.txt : 20200630 0001815929-20-000001.hdr.sgml : 20200630 20200629195211 ACCESSION NUMBER: 0001815929-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200630 DATE AS OF CHANGE: 20200629 EFFECTIVENESS DATE: 20200630 FILER: COMPANY DATA: COMPANY CONFORMED NAME: UCSD Surgical Center of San Diego, LLC CENTRAL INDEX KEY: 0001815929 IRS NUMBER: 822218664 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-369932 FILM NUMBER: 20999264 BUSINESS ADDRESS: STREET 1: 4910 DIRECTORS PLACE STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 4910 DIRECTORS PLACE STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92121 D 1 primary_doc.xml X0708 D LIVE 0001815929 UCSD Surgical Center of San Diego, LLC 4910 DIRECTORS PLACE SUITE 100 SAN DIEGO CA CALIFORNIA 92121 205-545-2734 CALIFORNIA None None Limited Liability Company true 2017 Julie Roberts 4910 DIRECTORS PLACE SUITE 100 SAN DIEGO CA CALIFORNIA 92121 Director Oren Shill 4910 DIRECTORS PLACE SUITE 100 SAN DIEGO CA CALIFORNIA 92121 Director Jenna Ramesh 4910 DIRECTORS PLACE SUITE 100 SAN DIEGO CA CALIFORNIA 92121 Director Philip Butler, MD 4910 DIRECTORS PLACE SUITE 100 SAN DIEGO CA CALIFORNIA 92121 Director Tal David, MD 4910 DIRECTORS PLACE SUITE 100 SAN DIEGO CA CALIFORNIA 92121 Director Other Health Care Decline to Disclose 06b false 2020-06-12 false true false 0 N/A None SCA Development 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CA CALIFORNIA false 956184 632439 323745 false 4 0 0 0 false UCSD Surgical Center of San Diego, LLC /s/ Nathan Simpson Nathan Simpson Attorney for Issuer 2020-06-29