SSC HOLDINGS LLC NPI 1033102140

NPI Information

  • NPI: 1033102140
  • Provider Name: SSC HOLDINGS LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: SEDONA SURGERY CENTER
  • Address: 81812 DR CARREON BLVD
    SUITE F
    INDIO, CA
    ZIP 92201
  • Phone: (760) 775-2225

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NPI Details

SSC HOLDINGS LLC is an ambulatory surgical clinic center in Indio, CA. SSC HOLDINGS LLC NPI is 1033102140. The provider is registered as an organization entity type.
The provider Is Doing Business As Sedona Surgery Center.

The provider's business location address is:

81812 DR CARREON BLVD
SUITE F
INDIO, CA
ZIP 92201
Phone: (760) 775-2225
Fax: (760) 775-2377

The provider's authorized official is Dan Bowers .
The authorized official title is President and has the following contact phone number (760) 775-8019.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 8/26/2008.

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
1261QA1903XClinic/CenterAmbulatory Surgical250000805CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105C0001681MEDICARE UPINCALIFORNIA
2ZZZ30421ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER NUMBER
305C0001681MEDICARE UPIN

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: 11/21/2025

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