# BLACKHAWK SURGERY CENTER, A MEDICAL CORP.

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

## Provider details

- **NPI number:** 1144259870
- **Authorized official:** DR. STEPHEN J. RONAN M.D. (OWNER)
- **Authorized official phone:** (925) 736-5757

## Contact information

- **Practice address:** 3601 BLACKHAWK PLAZA CIRCLE, DANVILLE, CA 94506
- **Practice address phone:** (925) 736-5757
- **Practice address fax:** (925) 736-5763
- **Mailing address:** 11999 SAN VICENTE BL., \# 440, LOS ANGELES, CA 90049
- **Mailing address phone:** (310) 440-3131
- **Mailing address fax:** (310) 472-9582

## Taxonomy

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

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 10/31/2007