PHYSICIANS SURGERY CENTER OF MODESTO INC NPI 1538280284

NPI Information

PHYSICIANS SURGERY CENTER OF MODESTO INC is an ambulatory surgical clinic center in Modesto, CA. PHYSICIANS SURGERY CENTER OF MODESTO INC NPI is 1538280284. The provider is registered as an organization entity type.
The provider Is Doing Business As River Surgical Institute.

The provider's business location address is:

609 E ORANGEBURG AVE # B
MODESTO, CA
ZIP 95350-580
Phone: (209) 527-6700

The provider's authorized official is John Joseph Casey .
The authorized official title is Physician and has the following contact phone number (209) 527-6700.

The CLIA number assigned to this NPI record is 05D1066895 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 6/21/2018.

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:

Other Identifiers

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

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