KY ADVANCED SURGICAL CENTER INC NPI 1730514027

NPI Information

NPI: 1730514027
Provider Name: KY ADVANCED SURGICAL CENTER INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2092194

Address:
3796 N FRESNO ST
103
FRESNO, CA
ZIP 93726
Phone: (559) 221-9905
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KY ADVANCED SURGICAL CENTER INC is an ambulatory surgical clinic center in Fresno, CA. KY ADVANCED SURGICAL CENTER INC NPI is 1730514027. The provider is registered as an organization entity type.

The provider's business location address is:

3796 N FRESNO ST
103
FRESNO, CA
ZIP 93726-500
Phone: (559) 221-9905
Fax: (559) 221-9908

The provider's authorized official is Sarah Barela .
The authorized official title is Biller and has the following contact phone number (559) 435-1757.

The CLIA number assigned to this NPI record is 05D2092194 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2013 and was last updated on 2/21/2023.

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	20A10743	CALIFORNIA	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: 4/28/2024

NPI Synchronization or Removal

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