VALLEY SURGERY CENTER AT MODESTO LLC NPI 1235106782

NPI Information

VALLEY SURGERY CENTER AT MODESTO, LLC is an ambulatory surgical clinic center in Modesto, CA. VALLEY SURGERY CENTER AT MODESTO, LLC NPI is 1235106782. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Valley Surgery Center, Lp.

The provider's business location address is:

1300 MABLE AVE
SUITE 1
MODESTO, CA
ZIP 95355-120
Phone: (209) 571-1633
Fax: (206) 491-0772

The provider's authorized official is Sandy Newman .
The authorized official title is Business Manager and has the following contact phone number (209) 571-1633.

The CLIA number assigned to this NPI record is 05D1024068 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2006 and was last updated on 11/13/2018.

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:

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