Modesto Surgery Center Llc

LBN: Modesto Surgery Center Llc
Modesto Surgery Center Llc is an health care organization with primary practice located at 400 E Orangeburg Ave Ste 1 , Modesto CA 95350-5342. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Modesto Surgery Center Llc can be contacted via phone (209) 526-3000, or through Bonelli, Cheryl Elaine via phone (760) 685-4096.

Contact Information

Primary practice address
400 E Orangeburg Ave Ste 1 Modesto CA 95350-5342
Phone: (209) 526-3000
Fax: (209) 526-3133
Website:
Map and Directions
Authorized official contact:
Name: Bonelli, Cheryl Elaine
Phone: (760) 685-4096

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 030000552 California

Profile Details

NPI number 1356463913
LBN Legal business name Modesto Surgery Center Llc
DBA Doing business as
Authorized official Bonelli, Cheryl Elaine
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Dec 28th, 2021 - about 3 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 1356463913 NPPES
California MEDICAID SUR01324F

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