Ambulatory Surgery Center Of Stockton

LBN: Ambulatory Surgery Center Of Eager Steven E Md Gen Ptr
Ambulatory Surgery Center Of Stockton is an health care organization with primary practice located at 2388 N California St , Stockton CA 95204-5506. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Ambulatory Surgery Center Of Eager Steven E Md Gen Ptr can be contacted via phone (209) 944-9100, or through Craig, Nicki via phone (209) 944-9100.

Contact Information

Primary practice address
2388 N California St Stockton CA 95204-5506
Fax: (209) 944-4509
Website:
Authorized official contact:
Name: Craig, Nicki

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 030000758 California

Profile Details

NPI number 1245285857
LBN Legal business name Ambulatory Surgery Center Of Eager Steven E Md Gen Ptr
DBA Doing business as Ambulatory Surgery Center Of Stockton
Authorized official Craig, Nicki
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Aug 19th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245285857 NPPES
California MEDICAID SUR01508F

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