LIBERTY SURGICAL CENTER LLC NPI 1164848032

NPI Information

NPI: 1164848032
Provider Name: LIBERTY SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1860 MOWRY AVE
SUITE 401
FREMONT, CA
ZIP 94538
Phone: (510) 713-0700
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LIBERTY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Fremont, CA. LIBERTY SURGICAL CENTER, LLC NPI is 1164848032. The provider is registered as an organization entity type.

The provider's business location address is:

1860 MOWRY AVE
SUITE 401
FREMONT, CA
ZIP 94538-730
Phone: (510) 713-0700
Fax: (510) 713-0701

The provider's authorized official is Maureen Jaroscak .
The authorized official title is Chief Financial Officer and has the following contact phone number (424) 279-9481.

The enumeration date for this NPI number is 3/14/2014 and was last updated on 3/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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