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EL DORADO SURGERY CENTER LLC NPI 1316192826


NPI Information

NPI: 1316192826
Provider Name: EL DORADO SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4300 GOLDEN CENTER DR
SUITE E
PLACERVILLE, CA
ZIP 95667
Phone: (530) 344-1687
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EL DORADO SURGERY CENTER LLC is an ambulatory surgical clinic center in Placerville, CA. EL DORADO SURGERY CENTER LLC NPI is 1316192826. The provider is registered as an organization entity type.

The provider's business location address is:

4300 GOLDEN CENTER DR
SUITE E
PLACERVILLE, CA
ZIP 95667-278
Phone: (530) 344-1687
Fax: (530) 344-1561

The provider's authorized official is Claudia S Lockwood .
The authorized official title is Facility Administrator and has the following contact phone number (530) 344-1687.

The enumeration date for this NPI number is 11/25/2008 and was last updated on 2/23/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11316192826OTHERCALIFORNIANPI NUMBER
2SUR01560FMEDICAIDCALIFORNIA
3F1560MEDICARE PINCALIFORNIA
4P00783630OTHERCALIFORNIAMEDICARE RAILROAD CARRIER
505C0001560MEDICARE OSCAR/CERTIFICATION

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

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