MODESTO SURGERY CENTER LLC is an ambulatory surgical clinic center in Modesto, CA. MODESTO SURGERY CENTER LLC NPI is 1356463913. The provider is registered as an organization entity type.
The provider's business location address is:
400 E ORANGEBURG AVE STE 1
MODESTO, CA
ZIP 95350-342
Phone: (209) 526-3000
Fax: (209) 526-3133
The provider's authorized official is Cheryl Elaine Bonelli .
The authorized official title is Corporate Administrator and has the following contact phone number (760) 685-4096.
The CLIA number assigned to this NPI record is 05D1039859 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/4/2007 and was last updated on 12/28/2021.