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Organization
RANCHO CORDOVA SURGERY CENTER, LLC
Active
Organization
RANCHO CORDOVA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMEL E VELASTEGUI M.D. (MANAGER/MEMBER)
(916) 400-4038
Entity
Organization
Contact information
Practice address
2893 SUNRISE BLVD STE 103, RANCHO CORDOVA, CA 95742-6527
(916) 400-4038
(916) 400-4391
Mailing address
2893 SUNRISE BLVD STE 103, RANCHO CORDOVA, CA 95742-6527
(916) 400-4038
(916) 400-4391
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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