# SIERRA AMBULATORY SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043254063
- **Authorized official:** DR. JOHN EDWARD HAGELE M.D. (PRESIDENT)
- **Authorized official phone:** (530) 272-3411

## Contact information

- **Practice address:** 400 SIERRA COLLEGE DRIVE, SUITE B, GRASS VALLEY, CA 95945-5089
- **Practice address phone:** (530) 272-3428
- **Practice address fax:** (530) 272-3429
- **Mailing address:** 400 SIERRA COLLEGE DRIVE, SUITE B, GRASS VALLEY, CA 95945-5089
- **Mailing address phone:** (530) 272-3428
- **Mailing address fax:** (530) 272-3429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 550000155 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 12/27/2012