MODESTO SPECIALTY SURGERY CENTER PC NPI 1265859573

NPI Information

NPI: 1265859573
Provider Name: MODESTO SPECIALTY SURGERY CENTER, PC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3105 MCHENRY AVE
MODESTO, CA
ZIP 95350
Phone: (800) 991-6448
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MODESTO SPECIALTY SURGERY CENTER, PC is an ambulatory surgical clinic center in Modesto, CA. MODESTO SPECIALTY SURGERY CENTER, PC NPI is 1265859573. The provider is registered as an organization entity type.

The provider's business location address is:

3105 MCHENRY AVE
MODESTO, CA
ZIP 95350-439
Phone: (800) 991-6448
Fax: (424) 369-9555

The provider's authorized official is Daniel P Taheri .
The authorized official title is Owner and has the following contact phone number (310) 922-1412.

The enumeration date for this NPI number is 3/25/2014 and was last updated on 8/7/2020.

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: 11/14/2023

NPI Synchronization or Removal

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